HB-5505, As Passed House, December 20, 2018

HB-5505, As Passed Senate, December 18, 2018

 

 

 

 

 

 

 

 

 

 

 

SENATE SUBSTITUTE FOR

 

HOUSE BILL NO. 5505

 

 

 

 

 

 

 

 

 

 

 

      A bill to amend 1979 PA 218, entitled

 

"Adult foster care facility licensing act,"

 

by amending sections 3, 4, 5, 7, 13, 13a, 14, 15, and 22 (MCL

 

400.703, 400.704, 400.705, 400.707, 400.713, 400.713a, 400.714,

 

400.715, and 400.722), sections 3 and 4 as amended by 2016 PA

 

525, section 5 as amended by 2010 PA 380, section 7 as amended by

 

1986 PA 257, section 13 as amended by 2012 PA 52, section 13a as

 

amended by 2004 PA 285, section 15 as amended by 1984 PA 40, and

 

section 22 as amended by 2004 PA 59, and by adding sections 22a

 

and 22c.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

 1        Sec. 3. (1) "Adult" means:

 

 2        (a) A person 18 years of age or older.

 

 3        (b) A person who is placed in an adult foster care family

 


 1  home or an adult foster care small group home according to

 

 2  section 5(6) or (8) of 1973 PA 116, MCL 722.115.

 

 3        (2) "Adult foster care camp" or "adult camp" means an adult

 

 4  foster care facility with the approved capacity to receive more

 

 5  than 4 adults to be provided foster care. An adult foster care

 

 6  camp is a facility located in a natural or rural environment.

 

 7        (3) "Adult foster care congregate facility" means an adult

 

 8  foster care facility with the approved capacity to receive more

 

 9  than 20 adults to be provided with foster care.

 

10        (4) "Adult foster care facility" means a governmental or

 

11  nongovernmental establishment home or facility that provides

 

12  foster care to adults. Subject to section 26a(1), adult foster

 

13  care facility includes facilities and foster care family homes

 

14  for adults who are aged, mentally ill, developmentally disabled,

 

15  or physically disabled who require supervision on an ongoing

 

16  basis but who do not require continuous nursing care. Adult

 

17  foster care facility does not include any of the following:

 

18        (a) A nursing home licensed under article 17 part 217 of the

 

19  public health code, 1978 PA 368, MCL 333.20101 to

 

20  333.22260.333.21701 to 333.21799e.

 

21        (b) A home for the aged licensed under article 17 part 213

 

22  of the public health code, 1978 PA 368, MCL 333.20101 to

 

23  333.22260.333.21301 to 333.21335.

 

24        (c) A hospital licensed under article 17 part 215 of the

 

25  public health code, 1978 PA 368, MCL 333.20101 to

 

26  333.22260.333.21501 to 333.21571.

 

27        (d) A hospital for the mentally ill or a facility for the

 


 1  developmentally disabled operated by the department of health and

 

 2  human services under the mental health code, 1974 PA 258, MCL

 

 3  330.1001 to 330.2106.

 

 4        (e) A county infirmary operated by a county department of

 

 5  health and human services under section 55 of the social welfare

 

 6  act, 1939 PA 280, MCL 400.55.

 

 7        (f) A child caring institution, children's camp, foster

 

 8  family home, or foster family group home licensed or approved

 

 9  under 1973 PA 116, MCL 722.111 to 722.128, if the number of

 

10  residents who become 18 years of age while residing in the

 

11  institution, camp, or home does not exceed the following:

 

12        (i) Two, if the total number of residents is 10 or fewer.

 

13        (ii) Three, if the total number of residents is not less than

 

14  11 and not more than 14.

 

15        (iii) Four, if the total number of residents is not less than

 

16  15 and not more than 20.

 

17        (iv) Five, if the total number of residents is 21 or more.

 

18        (g) A foster family home licensed or approved under 1973 PA

 

19  116, MCL 722.111 to 722.128, that has a person who is 18 years of

 

20  age or older placed in the foster family home under section 5(7)

 

21  of 1973 PA 116, MCL 722.115.

 

22        (h) An establishment commonly described as an alcohol or a

 

23  substance use disorder rehabilitation center, except if licensed

 

24  as both a substance use disorder program and an adult foster care

 

25  facility and approved as a co-occurring enhanced crisis

 

26  residential program, a residential facility for persons released

 

27  from or assigned to adult correctional institutions, a maternity

 


 1  home, or a hotel or rooming house that does not provide or offer

 

 2  to provide foster care.

 

 3        (i) A facility created by 1885 PA 152, MCL 36.1 to 36.12.

 

 4        (j) An area excluded from the definition of adult foster

 

 5  care facility under section 17(3) of the continuing care

 

 6  community disclosure act, 2014 PA 448, MCL 554.917.

 

 7        (k) A private residence with the capacity to receive at

 

 8  least 1 but not more than 4 adults who all receive benefits from

 

 9  a community mental health services program if the local community

 

10  mental health services program monitors the services being

 

11  delivered in the residential setting.

 

12        (5) "Adult foster care family home" means a private

 

13  residence with the approved capacity to receive at least 3 but

 

14  not more than 6 or fewer adults to be provided with foster care.

 

15  for 5 or more days a week and for 2 or more consecutive weeks.

 

16  The adult foster care family home licensee shall must be a member

 

17  of the household , and an occupant of the residence.

 

18        (6) "Adult foster care large group home" means an adult

 

19  foster care facility with the approved capacity to receive at

 

20  least 13 but not more than 20 adults to be provided with foster

 

21  care.

 

22        (7) "Adult foster care small group home" means an adult

 

23  foster care facility with the approved capacity to receive at

 

24  least 3 but not more than 12 or fewer adults to be provided with

 

25  foster care.

 

26        (8) "Aged" means an adult whose chronological age is 60

 

27  years of age or older or whose biological age, as determined by a

 


 1  physician, is 60 years of age or older.

 

 2        (9) "Assessment plan" means a written statement prepared in

 

 3  cooperation with a responsible agency or person that identifies

 

 4  the specific care and maintenance, services, and resident

 

 5  activities appropriate for each individual resident's physical

 

 6  and behavioral needs and well-being and the methods of providing

 

 7  the care and services taking into account the preferences and

 

 8  competency of the individual.

 

 9        (10) "Board" means food service provided at the adult foster

 

10  care facility.

 

11        Sec. 4. (1) "Co-occurring enhanced crisis residential

 

12  program" means a program approved by the department of health and

 

13  human services for providing short-term intensive mental health

 

14  and substance use disorder services that is able to address the

 

15  mental health needs, substance use disorder needs, or both of an

 

16  individual through enhanced programming and staffing patterns

 

17  that are reviewed and approved by the department of health and

 

18  human services.

 

19        (2) (1) "Council" means the adult foster care licensing

 

20  advisory council created in section 8.

 

21        (3) (2) "Department" means the department of licensing and

 

22  regulatory affairs.

 

23        (4) (3) "Developmental disability" means that term as

 

24  defined in section 100a of the mental health code, 1974 PA 258,

 

25  MCL 330.1100a.

 

26        (5) (4) "Direct access" means access to a resident or to a

 

27  resident's property, financial information, medical records,

 


 1  treatment information, or any other identifying information.

 

 2        (6) (5) "Director" means the director of the department.

 

 3        (7) (6) "Do-not-resuscitate order" means a document executed

 

 4  under the Michigan do-not-resuscitate procedure act, 1996 PA 193,

 

 5  MCL 333.1051 to 333.1067, directing that, in the event a resident

 

 6  suffers cessation of both spontaneous respiration and

 

 7  circulation, no resuscitation will be initiated.

 

 8        (8) (7) "Foster care" means the provision of supervision,

 

 9  personal care, and protection in addition to room and board, for

 

10  24 hours a day, 5 or more days a week, and for 2 or more

 

11  consecutive weeks for compensation provided at a single address.

 

12  Providing room under a landlord and tenant arrangement does not,

 

13  by itself, exclude a person from the licensure requirement under

 

14  this act.

 

15        Sec. 5. (1) "Good moral character" means good moral

 

16  character as defined in 1974 PA 381, MCL 338.41 to 338.47.

 

17        (2) "Licensed hospice program" means a health care program

 

18  that provides a coordinated set of services rendered at home or

 

19  in an outpatient or institutional setting for individuals

 

20  suffering from a disease or condition with a terminal prognosis

 

21  and that is licensed under article 17 of the public health code,

 

22  1978 PA 368, MCL 333.20101 to 333.22260.

 

23        (3) "Licensee" means the agency, association, corporation,

 

24  organization, person, or department or agency of the state,

 

25  county, city, or other political subdivision, that has been

 

26  issued a license to operate an adult foster care facility.

 

27        (4) "Licensee designee" means the individual designated in

 


 1  writing by the owner or person with legal authority to act on

 

 2  behalf of the company or organization on licensing matters. The

 

 3  licensee designee must meet the licensee qualification

 

 4  requirements of this act and rules promulgated under this act.

 

 5  The licensee designee who is not an owner, partner, or director

 

 6  of the applicant shall not sign the original license application

 

 7  or amendments to the application.

 

 8        (5) "Mental illness" means a substantial disorder of thought

 

 9  or mood that significantly impairs judgment, behavior, capacity

 

10  to recognize reality, or ability to cope with the ordinary

 

11  demands of life.

 

12        (6) "New construction" means a newly constructed facility or

 

13  a facility that has been completely renovated for use as an adult

 

14  foster care facility.

 

15        Sec. 7. (1) "Regular license" means a license issued to an

 

16  adult foster care facility which that is in compliance with this

 

17  act and the rules promulgated under this act.

 

18        (2) "Related" means any of the following relationships by

 

19  marriage, blood, or adoption: spouse, child, parent, brother,

 

20  sister, grandparent, grandchild, aunt, uncle, stepparent,

 

21  stepbrother, stepsister, or cousin.

 

22        (3) "Short-term operation" means an adult foster care

 

23  facility which that operates for a period of time less than 6

 

24  months within a calendar year.

 

25        (4) "Special license" means a license issued for the

 

26  duration of the operation of an adult foster care facility if the

 

27  licensee is a short-term operation.

 


 1        (5) "Specialized program" means a program of services or

 

 2  treatment provided in an adult foster care facility licensed

 

 3  under this act that is designed to meet the unique programmatic

 

 4  needs of the residents of that home as set forth in the

 

 5  assessment plan for each resident and for which the facility

 

 6  receives special compensation.

 

 7        (6) "Special compensation" means payment to an adult foster

 

 8  care facility to ensure the provision of a specialized program in

 

 9  addition to the basic payment for adult foster care. Special

 

10  compensation does not include payment received by the adult

 

11  foster care facility directly from the medicaid Medicaid program

 

12  for personal care services for a resident, or payment received

 

13  under the supplemental security income program under title XVI of

 

14  the social security act, 42 U.S.C. 1381 to 1383c.USC 1381 to

 

15  1383f.

 

16        (7) "Supervision" means guidance of a resident in the

 

17  activities of daily living, including all 1 or more of the

 

18  following:

 

19        (a) Reminding a resident to maintain his or her medication

 

20  schedule, as directed by the resident's physician.

 

21        (b) Reminding a resident of important activities to be

 

22  carried out.

 

23        (c) Assisting a resident in keeping appointments.

 

24        (d) Being aware of a resident's general whereabouts even

 

25  though the resident may travel independently about the community.

 

26        (8) "Temporary license" means a license issued to a facility

 

27  which that has not previously been licensed pursuant to under

 


 1  this act or to former Act No. 287 of the Public Acts of

 

 2  1972.under former 1972 PA 287.

 

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

 

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

 

 5  city, or other political subdivision shall not establish or

 

 6  maintain an adult foster care facility unless licensed by the

 

 7  department.

 

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

 

 9  provided and in the manner prescribed by the department. The

 

10  application shall be accompanied by the fee prescribed in section

 

11  13a.

 

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

 

13  shall investigate the activities and standards of care of the

 

14  applicant and shall make an on-site evaluation of the facility.

 

15  On-site inspections conducted in response to the application may

 

16  be conducted without prior notice to the applicant. On-site

 

17  inspections conducted for renewing a license may be conducted

 

18  within 12 months before the expiration date of the current

 

19  license without impact on the license renewal date or the license

 

20  fee. Subject to subsections (9), (10), and (11), the department

 

21  shall issue or renew a license if satisfied as to all of the

 

22  following:

 

23        (a) The financial stability of the facility.

 

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

 

25  promulgated under this act.

 

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

 

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

 


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

 

 2  of age.

 

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

 

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

 

 5  operate an adult foster care facility.

 

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

 

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

 

 8  facility. licensee or licensee designee, owner, partner,

 

 9  director, and person responsible for the daily operation of the

 

10  facility. The applicant shall be is responsible for assessing the

 

11  good moral character of the employees of the facility. The person

 

12  responsible for the daily operation of the facility shall be not

 

13  less than 18 years of age.

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

21  lease other than as lessee.

 

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

 

23  to be received for foster care at 1 time.

 

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

 

25  specialized program for which certification has been received

 

26  from the department.

 

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

 


 1  facility at a specific location , and is nontransferable. , and

 

 2  remains the property of the department. The prohibition against

 

 3  transfer of a license to another location does not apply if a

 

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

 

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

 

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

 

 7  rules promulgated under this act.

 

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

 

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

 

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

 

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

 

12  arrange to meet with specified department representatives and

 

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

 

14  noncompliance with applicable law and rules that shall be

 

15  corrected. The department shall notify the respective parties of

 

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

 

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

 

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

 

19  notify the prospective purchaser of all licensure requirements.

 

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

 

21  license of an owner, partner, or director of the applicant, who

 

22  has regular direct access to residents or who has on-site

 

23  facility operational responsibilities, or an applicant or the

 

24  licensee designee, if any of those individuals have been

 

25  convicted of 1 or more of the following:

 

26        (a) A felony under this act or under chapter XXA of the

 

27  Michigan penal code, 1931 PA 328, MCL 750.145m to 750.145r.

 


 1        (b) A misdemeanor under this act or under chapter XXA of the

 

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

 

 3  within the 10 years immediately preceding the application.

 

 4        (c) A misdemeanor involving abuse, neglect, assault,

 

 5  battery, or criminal sexual conduct or involving fraud or theft

 

 6  against a vulnerable adult as that term is defined in section

 

 7  145m of the Michigan penal code, 1931 PA 328, MCL 750.145m, or a

 

 8  state or federal crime that is substantially similar to a

 

 9  misdemeanor described in this subdivision within the 10 years

 

10  immediately preceding the application.

 

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

 

12  renew a person's license, or denied an application for a license,

 

13  for an adult foster care facility according to section 22, the

 

14  department may refuse to issue a license to or renew a license of

 

15  that person for a period of 5 years after the suspension,

 

16  revocation, or nonrenewal of the license, or denial of the

 

17  application.

 

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

 

19  renew the license of an applicant if the department determines

 

20  that the applicant has a relationship with a former licensee

 

21  whose license under this act has been suspended, revoked, or

 

22  nonrenewed under subsection (9) or section 22 or a convicted

 

23  person to whom a license has been denied under subsection (9).

 

24  This subsection applies for 5 years after the suspension,

 

25  revocation, or nonrenewal of the former licensee's license or the

 

26  denial of the convicted person's license. For purposes of this

 

27  subsection, an applicant has a relationship with a former

 


 1  licensee or convicted person if the former licensee or convicted

 

 2  person is involved with the facility in 1 or more of the

 

 3  following ways:

 

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

 

 5  facility.

 

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

 

 7  facility.

 

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

 

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

 

10  the facility.

 

11        (e) Is employed by the facility.

 

12        (f) Resides in the facility.

 

13        (12) If the department determines that an unlicensed

 

14  facility is an adult foster care facility, the department shall

 

15  notify the owner or operator of the facility that it is required

 

16  to be licensed under this act. A person receiving the

 

17  notification required under this section who does not apply for a

 

18  license within 30 days is subject to the penalties described in

 

19  subsection (13).

 

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

 

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

 

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

 

23  $50,000.00, or both. A person who has been convicted of a

 

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

 

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

 

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

 

27  both.

 


 1        (14) The department shall issue an initial or renewal

 

 2  license not later than 6 months after the applicant files a

 

 3  completed application. Receipt of the application is considered

 

 4  the date the application is received by any an agency or

 

 5  department of this state. If the application is considered

 

 6  incomplete by the department, the department shall notify the

 

 7  applicant in writing or make notice electronically available

 

 8  within 30 days after receipt of the incomplete application,

 

 9  describing the deficiency and requesting additional information.

 

10  If the department identifies a deficiency or requires the

 

11  fulfillment of a corrective action plan, the 6-month period is

 

12  tolled until either of the following occurs:

 

13        (a) Upon notification by the department of a deficiency,

 

14  until the date the requested information is received by the

 

15  department.

 

16        (b) Upon notification by the department that a corrective

 

17  action plan is required, until the date the department determines

 

18  the requirements of the corrective action plan have been met.

 

19        (15) The determination of the completeness of an application

 

20  does not operate as an approval of the application for the

 

21  license and does not confer eligibility of an applicant

 

22  determined otherwise ineligible for issuance of a license.

 

23        (16) If the department fails to issue or deny a license

 

24  within the time required by this section, the department shall

 

25  return the license fee and shall reduce the license fee for the

 

26  applicant's next renewal application, if any, by 15%. Failure to

 

27  issue or deny a license within the time period required under

 


 1  this section does not allow the department to otherwise delay

 

 2  processing an application. The completed application shall be

 

 3  placed in sequence with other completed applications received at

 

 4  that same time. The department shall not discriminate against an

 

 5  applicant in the processing of an application based on the fact

 

 6  that the application fee was refunded or discounted under this

 

 7  subsection.

 

 8        (17) If, on a continual basis, inspections performed by a

 

 9  local health department delay the department in issuing or

 

10  denying licenses under this act within the 6-month period, the

 

11  department may use department staff to complete the inspections

 

12  instead of the local health department causing the delays.

 

13        (18) The department director shall submit a report by

 

14  December 1 of each year to the standing committees and

 

15  appropriations subcommittees of the senate and house of

 

16  representatives concerned with human services issues. The

 

17  department director shall include all of the following

 

18  information in the report concerning the preceding fiscal year:

 

19        (a) The number of initial and renewal applications the

 

20  department received and completed within the 6-month time period

 

21  described in subsection (14).

 

22        (b) The number of applications requiring a request for

 

23  additional information.

 

24        (c) The number of applications rejected.

 

25        (d) The number of licenses not issued within the 6-month

 

26  period.

 

27        (e) The average processing time for initial and renewal

 


 1  licenses granted after the 6-month period.

 

 2        (19) An applicant, if an individual, or an owner, partner,

 

 3  or director of the applicant who has regular direct access to

 

 4  residents or who has on-site facility operational

 

 5  responsibilities shall give written consent at the time of

 

 6  original license application and a licensee designee shall give

 

 7  written consent at the time of appointment for the department of

 

 8  state police to conduct both of the following:

 

 9        (a) A criminal history check.

 

10        (b) A criminal records check through the federal bureau of

 

11  investigation.Federal Bureau of Investigation.

 

12        (20) Unless already submitted under subsection (19), an An

 

13  owner, partner, or director of the applicant who has regular

 

14  direct access to residents or who has on-site facility

 

15  operational responsibilities shall give written consent at the

 

16  time of original license application for the department of state

 

17  police to conduct both of the following:

 

18        (a) A criminal history check.

 

19        (b) A criminal records check through the federal bureau of

 

20  investigation.is exempt from the requirements of subsection (19)

 

21  if he or she has already submitted consent described in

 

22  subsection (19) and were continuously affiliated with a licensed

 

23  adult foster care facility as an applicant, owner, partner, or

 

24  director.

 

25        (21) The department shall require the applicant, if an

 

26  individual, the licensee designee, owner, partner, or director of

 

27  the applicant who has regular direct access to residents or who

 


 1  has on-site facility operational responsibilities to submit his

 

 2  or her fingerprints to the department of state police for the

 

 3  criminal history check and criminal records check described in

 

 4  subsections subsection (19). and (20).

 

 5        (22) The department shall request a criminal history check

 

 6  and criminal records check required under this section in the

 

 7  manner prescribed by the department of state police. The

 

 8  department of state police shall conduct the criminal history

 

 9  check and provide a report of the results to the licensing or

 

10  regulatory bureau of the department. The report shall contain any

 

11  criminal history information on the person maintained by the

 

12  department of state police and the results of the criminal

 

13  records check from the federal bureau of investigation. Federal

 

14  Bureau of Investigation. The department of state police may

 

15  charge the person on whom the criminal history check and criminal

 

16  records check are performed under this section a fee that does

 

17  not exceed the actual and reasonable cost of conducting the

 

18  checks.

 

19        (23) Not later than 1 year after the effective date of the

 

20  2012 amendatory act that amended this subsection, all licensees

 

21  and licensee designees of facilities licensed on the effective

 

22  date of the 2012 amendatory act that amended this subsection and

 

23  all persons described in subsection (20) shall comply with the

 

24  requirements of this section.

 

25        (23) (24) Beginning the effective date of the 2012

 

26  amendatory act that amended this subsection, March 13, 2012, if

 

27  an applicant or licensee designee or person described in

 


 1  subsection (20) applies for a license or to renew a license to

 

 2  operate an adult foster care facility and he or she or the

 

 3  licensee designee previously underwent a criminal history check

 

 4  and criminal records check required under subsection (19) or (20)

 

 5  or under section 134a of the mental health code, 1974 PA 258, MCL

 

 6  330.1134a, and has remained continuously licensed or continuously

 

 7  employed under section 34b or under section 20173a of the public

 

 8  health code, 1978 PA 368, MCL 333.20173a, after the criminal

 

 9  history check and criminal records check have been performed,

 

10  that person is not required to submit to another criminal history

 

11  check or criminal records check upon renewal of the license

 

12  obtained under subsection (3).

 

13        (24) (25) The department of state police shall store and

 

14  maintain all fingerprints submitted under this act in an

 

15  automated fingerprint identification system database that

 

16  provides for an automatic notification at the time of a

 

17  subsequent criminal arrest fingerprint card submitted into the

 

18  system that matches a set of fingerprints previously submitted in

 

19  accordance with this act. Upon notification, the department of

 

20  state police shall immediately notify the department and the

 

21  department shall take the appropriate action.

 

22        (25) (26) A licensee, licensee designee, owner, partner, or

 

23  director of the licensee shall not be permitted on the premises

 

24  of an adult foster care facility or have direct access to

 

25  residents or resident records if he or she has been convicted of

 

26  any of the following: adult abuse, neglect, or financial

 

27  exploitation; or listed offenses as defined in section 2 of the

 


 1  sex offenders registration act, 1994 PA 295, MCL 28.722.

 

 2        (26) An adult foster family care home or an adult foster

 

 3  care group home shall not be concurrently licensed as a group

 

 4  child care home or a family child care home.

 

 5        (27) As used in this section, "completed application" means

 

 6  an application complete on its face with all requested

 

 7  information provided and answers to all questions provided and

 

 8  submitted with any applicable licensing fees as well as any other

 

 9  information, records, approval, security, or similar item

 

10  required by law or rule from a local unit of government, a

 

11  federal agency, or a private entity but not from another

 

12  department or agency of this state. A completed application does

 

13  not include a health inspection performed by a local health

 

14  department.

 

15        Sec. 13a. (1) Application Until December 31, 2019,

 

16  application fees for an individual, partnership, firm,

 

17  corporation, association, governmental organization, or

 

18  nongovernmental organization licensed or seeking licensure under

 

19  this act are as follows:

 

20        (a) Application fee for a temporary license:

 

 

21

(i)

Family home..............................  $  65.00

22

(ii)

Small group home (1-6)...................    105.00

23

(iii)

Small group home (7-12)..................    135.00

24

(iv)

Large group home.........................    170.00

25

(v)

Congregate facility......................    220.00

26

(vi)

Camp.....................................     40.00

 

 


 1        (b) Application fee for subsequent licenses:

 

 

2

(i)

Family home..............................  $  25.00

3

(ii)

Small group home (1-6)...................     25.00

4

(iii)

Small group home (7-12)..................     60.00

5

(iv)

Large group home.........................    100.00

6

(v)

Congregate facility......................    150.00

7

(vi)

Camp.....................................     25.00

 

 

 8        (2) Fees Until December 31, 2019, fees collected under this

 

 9  act shall be credited to the general fund of the state to be

 

10  appropriated by the legislature to the department for the

 

11  enforcement of this act.

 

12        (3) The department shall use a portion of the fees collected

 

13  to inspect new adult foster care facilities for fiscal year 1991-

 

14  1992.Application fees for an individual, partnership, firm,

 

15  corporation, association, governmental organization, or

 

16  nongovernmental organization licensed or seeking licensure under

 

17  this act for a temporary or renewal license are as follows:

 

18        (a) Beginning January 1, 2020, as follows:

 

 

19

(i)

Family home (3-6)........................  $  85.00

20

(ii)

Small group home (3-6)...................    130.00

21

(iii)

Small group home (7-12)..................    170.00

22

(iv)

Large group home.........................    320.00

23

(v)

Congregate facility (renewal only).......    360.00

24

(vi)

Camp.....................................    120.00

 

 

25        (b) Beginning January 1, 2022, as follows:

 


 

1

(i)

Family home..............................  $ 100.00

2

(ii)

Small group home (3-6)...................    150.00

3

(iii)

Small group home (7-12)..................    200.00

4

(iv)

Large group home.........................    500.00

5

(v)

Congregate facility (renewal only).......    500.00

6

(vi)

Camp.....................................    200.00

 

 

 7        Sec. 14. (1) A temporary license shall be issued to an adult

 

 8  foster care facility for the first 6 months of operation. if the

 

 9  adult foster care facility has not previously been licensed as an

 

10  adult foster care facility. At the end of the first 6 months of

 

11  operation, the department shall either issue a regular license,

 

12  issue a provisional license, or refuse to issue a license in the

 

13  manner provided for in section 22. A temporary license shall not

 

14  be renewed.

 

15        (2) Before issuing a temporary license, the department may

 

16  require an adult foster care facility to submit to the department

 

17  an acceptable plan of correction for the adult foster care

 

18  facility. The adult foster care facility shall implement the plan

 

19  of correction within the time limitations of the temporary

 

20  license period.

 

21        Sec. 15. (1) The department shall not issue a temporary

 

22  license to an adult foster care congregate facility, except a

 

23  facility which is to replace an adult foster care existing adult

 

24  foster care congregate facility. licensed on March 27, 1984 and

 

25  is a The new construction ; satisfies must satisfy all applicable

 

26  state construction code requirements and the fire safety

 


 1  requirements prescribed by section 20; and the bed capacity does

 

 2  must not exceed that of the licensed facility which that it

 

 3  replaces.

 

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

 

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

 

 6  provisional license, if the licensee falsifies information on the

 

 7  application for license or willfully and substantially violates

 

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

 

 9  the license.

 

10        (2) The department may deny, suspend, revoke, or modify a

 

11  license of an applicant application for licensure or a license of

 

12  a licensee if the department determines that the applicant or

 

13  licensee has a relationship with a former applicant whose

 

14  application under this act has been denied or a former licensee

 

15  whose license under this act has been suspended, revoked, or

 

16  nonrenewed refused renewal under this section or section 13(9) or

 

17  a convicted person to whom a license has been denied under

 

18  section 13(9). This subsection applies for 10 years after the

 

19  suspension, revocation, or nonrenewal refused renewal of the

 

20  former licensee's license, the denial of the former applicant's

 

21  application for licensure, or the denial of the convicted

 

22  person's license. application for licensure. As used in this

 

23  subsection, an applicant has a relationship with a former

 

24  licensee or convicted person if the former applicant, licensee,

 

25  or convicted person is involved with the facility in 1 or more of

 

26  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        (3) The department may deny an application for licensure

 

10  based on a prior settlement agreement that prohibits a person

 

11  from providing adult foster care.

 

12        (4) An application for licensure shall not be denied, a

 

13  license shall not be revoked, a renewal shall not be refused, and

 

14  a regular license shall not be modified to a provisional license

 

15  unless the department gives the applicant or licensee written

 

16  notice of the grounds for the proposed denial, revocation,

 

17  refusal to renew, or modification. If the proposed denial,

 

18  revocation, refusal to renew, or modification is not appealed

 

19  within 30 days after receipt, the department shall deny, revoke,

 

20  refuse to renew, or modify the application or license. The

 

21  applicant or licensee must appeal in writing to the department

 

22  director, or the director's designee, a proposed denial,

 

23  revocation, refusal to renew, or modification within 30 days

 

24  after receipt of the written notice. Upon receipt of the written

 

25  request for appeal, the director or the director's designee must

 

26  conduct a contested case hearing under the administrative

 

27  procedures act of 1969, 1969 PA 306, MCL 24.301 to 24.328. Notice

 


 1  of the hearing must be given to the applicant or licensee by

 

 2  personal service or delivery to the proper address by registered

 

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

 

 4  decision of the director or his or her designee shall be issued

 

 5  as soon as practicable after the hearing and forwarded to the

 

 6  protesting party by registered mail. The formal notice and

 

 7  hearing requirement in this subsection does not apply if the

 

 8  licensee and the department comply with section 22a.

 

 9        (5) (3) A license shall not be denied, suspended, or

 

10  revoked, a renewal shall not be refused, and a regular license

 

11  shall not be modified to a provisional license unless the

 

12  department gives the licensee or applicant written notice of the

 

13  grounds of the proposed denial, revocation, refusal to renew, or

 

14  modification. If the licensee or applicant appeals the denial,

 

15  revocation, refusal to renew, or modification by filing a written

 

16  appeal with the director within 30 days after receipt of the

 

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

 

18  representative shall conduct a contested case hearing at which

 

19  the licensee or applicant may present testimony and confront

 

20  witnesses. Notice of the hearing shall be given to the licensee

 

21  or applicant by personal service or delivery to the proper

 

22  address by registered mail not less than 2 weeks before the date

 

23  of the hearing. The decision of the director shall be made and

 

24  forwarded to the protesting party by registered mail not more

 

25  than 30 days after the hearing. If the proposed denial,

 

26  revocation, refusal to renew, or modification is not protested

 

27  within 30 days, the license shall be denied, revoked, refused, or

 


 1  modified.

 

 2        (6) (4) If the department has revoked, suspended, or refused

 

 3  to renew a license, the former licensee shall not receive or

 

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

 

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

 

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

 

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

 

 8        (7) (5) If the department has revoked, suspended, or refused

 

 9  to renew a license, relocation services shall be provided to

 

10  adults who were being served by the formerly licensed facility,

 

11  upon the department's determination that the adult or his or her

 

12  designated representative is unable to relocate the adult in

 

13  another facility without assistance. The relocation services

 

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

 

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

 

16  as responsible, by the department of health and human services.

 

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

 

18  with a state department or a community mental health services

 

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

 

20  period to avoid relocation of residents following the revocation,

 

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

 

22  requirements are met:

 

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

 

24  with all licensing requirements.

 

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

 

26  who is in compliance with all applicable regulations under this

 

27  act and under contract with a state department or a community

 


 1  mental health services board to operate the leased physical plant

 

 2  temporarily.

 

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

 

 4  to a lease, sublease, or contract has been lawfully terminated by

 

 5  the owner or lessee of the facility.

 

 6        Sec. 22a. The department may immediately suspend, revoke,

 

 7  modify, or refuse to renew a license or deny an application for a

 

 8  license without providing written notice of the grounds for the

 

 9  proposed action or giving the licensee or applicant 30 days to

 

10  appeal if the licensee or applicant agrees in writing to do all

 

11  of the following:

 

12        (a) Waive the requirement that the department provide

 

13  written notice of the grounds for the proposed action.

 

14        (b) Waive the 30-day time frame in which to submit a written

 

15  appeal to the proposed action.

 

16        (c) Waive the right to a contested case hearing under the

 

17  administrative procedures act of 1969, 1969 PA 306, MCL 24.301 to

 

18  24.328.

 

19        Sec. 22c. When the department issues a summary suspension

 

20  order for closure of an adult foster care facility, or when an

 

21  adult foster care facility cannot provide adequate resident care,

 

22  the department must do the following:

 

23        (a) Ensure that the department of health and human services

 

24  has been notified to make arrangements for the orderly and safe

 

25  discharge and transfer of the residents to another facility or

 

26  appropriate setting.

 

27        (b) Determine whether a representative of the department

 


 1  must be placed in a facility on a daily basis to monitor the

 

 2  delivery of services during the discharge of residents to another

 

 3  facility or location.

 

 4        (c) Determine if the appointment of a temporary

 

 5  administrative advisor or a temporary clinical advisor, or both,

 

 6  is necessary, with authority and duties specified by the

 

 7  department to assist the facility management and staff to oversee

 

 8  the orderly closure of the facility. The licensee must pay the

 

 9  expense of the person appointed.

 

10        Enacting section 1. This amendatory act takes effect 90 days

 

11  after the date it is enacted into law.

 

12        Enacting section 2. This amendatory act does not take effect

 

13  unless House Bill No. 5506 of the 99th Legislature is enacted

 

14  into law.