Section § 1793.80

Explanation

这项法律规定,提供者在永久关闭持续照护退休社区之前,必须提前至少120天发出通知。该通知必须送达州政府部门、居民及其代表,详细说明居民的权利和选择。提供者必须准备一份关闭计划,其中列出居民的搬迁选择或补偿方案。该计划必须与相关方和当地长期照护申诉专员共享。一旦发出通知,提供者不得在计划关闭的设施中接受新居民或签订新合同。

(a)CA 健康与安全 Code § 1793.80(a) 尽管有法律的其他规定,本章所规范的提供者,在持续照护退休社区设施(如第1771条(p)款第(3)项所定义)预定永久关闭日期前至少120天,应向部门以及受影响的居民及其指定代表提供书面通知。该通知应包含本条规定的以下居民权利声明,字体不小于12磅:
“本设施计划于[关闭日期]或之后永久关闭,这将要求您腾空您的居住单元。加州持续照护退休社区的居民在持续照护社区关闭时享有某些权利,持续照护社区提供者也承担某些责任。这些权利包括但不限于以下各项:
1. 在关闭之前,提供者应向州社会服务部持续照护合同处提供一份永久关闭计划,该计划应描述居民可选择搬迁到设施的另一部分、另一设施的选项,或将向居民提供的补偿。
2. 在永久关闭和搬迁计划准备好并提供给部门、设施的受影响居民及其指定代表以及当地长期照护申诉专员计划之前,不得采取任何行动搬迁任何居民或关闭设施。”
(b)CA 健康与安全 Code § 1793.80(b) 当计划关闭设施内所有单元时,在送达关闭通知后,提供者不得在该即将关闭的设施中接受新居民或签订新的持续照护合同。

Section § 1793.81

Explanation

在持续照护退休社区设施永久关闭前至少90天,设施提供者必须向相关部门、受影响的居民及其指定代表,以及当地长期照护申诉专员计划提交一份书面的关闭和搬迁计划。该计划应详细说明受影响居民的数量、他们的照护需求,以及如何提供可比的照护和住房。

计划还必须详细说明搬迁服务,包括搬家、仓储和交通的合理费用,并列出提供者运营的其他社区以及关闭设施30英里内的其他可比社区。计划应确保居民在替代住房和照护方面的支付不会超过现有费用(正常费率上涨除外),并提供公平合理的货币补偿。

此外,计划应说明有持证医疗或老年病学专业人员可提供咨询服务,协助居民、居民代表和提供者处理居民转移事宜,且提供者可对这些服务的费用施加合理限制。

No less than 90 days prior to the permanent closure of the continuing care retirement community facility, as defined in paragraph (3) of subdivision (p) of Section 1771, the provider shall provide to the department, the affected residents of the facility and their designated representatives, and to the local long-term care ombudsman program, a written closure and relocation plan. The plan shall contain all of the following information:
(a)CA 健康与安全 Code § 1793.81(a) The number of affected residents at each level of care in the continuing care retirement community facility.
(b)CA 健康与安全 Code § 1793.81(b) Assessment of unique service and care needs, if applicable, for all of the following:
(1)CA 健康与安全 Code § 1793.81(b)(1) Affected residents in skilled nursing and special care.
(2)CA 健康与安全 Code § 1793.81(b)(2) Affected residents in assisted living units.
(3)CA 健康与安全 Code § 1793.81(b)(3) Affected residents in the residential living units who require assistance with three or more activities of daily living, and other residents upon request.
(c)CA 健康与安全 Code § 1793.81(c) An explanation on how comparable care, if applicable, and comparable replacement housing will be provided.
(d)CA 健康与安全 Code § 1793.81(d) A detailed description of the services the provider will provide to residents to assist them in relocating, including, but not limited to, reasonable costs of moving, storage, if applicable, and transportation that shall be arranged by the provider in consultation with the resident and his or her designated representative, and paid for directly by the provider.
(e)CA 健康与安全 Code § 1793.81(e) The names and addresses of other continuing care retirement communities operated by the provider and whether there are openings available to the residents.
(f)CA 健康与安全 Code § 1793.81(f) The names and addresses of other continuing care retirement communities within 30 miles of the closing continuing care retirement community facility that provide comparable replacement housing and care, if applicable, to those offered at the facility that is scheduled for closure, and whether the facilities have immediate openings available to residents of the closing facility.
(g)CA 健康与安全 Code § 1793.81(g) A description of how the facility will comply with the requirements of Section 1793.82. The plan shall describe or identify the replacement facility or facilities and the procedure by which a resident can select a replacement facility. In no case shall the plan for replacement housing require a resident to pay more than he or she is presently paying for comparable housing and care, other than normal rate increases. Any proposed monetary compensation shall be fair and reasonable and shall represent the estimated cost to the resident of securing comparable replacement housing and care under terms similar to the contract between resident and provider.
(h)CA 健康与安全 Code § 1793.81(h) A statement regarding the availability of a licensed medical or geriatric professional to advise the resident, the resident’s representative, and the provider regarding the transfer of the resident. Upon request by the resident or the resident’s representative, the provider shall make available the services of a licensed medical or geriatric professional to advise the resident, the resident’s representative, and the provider regarding the transfer of the resident. The provider may place a reasonable limit on the cost of the services of the medical or geriatric professional.

Section § 1793.82

Explanation

这项法律规定了如果一家照护机构永久关闭会发生什么。住户有四种选择:搬到同一提供者拥有的另一家机构、搬到不同提供者拥有的机构、获得相当于合同剩余价值的货币补偿,或者与提供者达成其他安排。

如果搬到另一家机构,该机构在成本、面积和设施方面必须相似,并且提供者承担搬家费用。对于签订终身照护合同的住户,提供者必须确保提供可比的住房和照护,且不收取额外费用。

搬到非提供者拥有的机构可以是按月进行的安排,但如果你选择这种方式,120 天后就不能再要求补偿了。

(a)CA 健康与安全 Code § 1793.82(a) 在永久关闭的情况下,提供者应向住户提供以下四种选择,其条款不得低于住户与提供者之间签订的持续照护合同的条款,如同该合同已完全履行一样:
(1)CA 健康与安全 Code § 1793.82(a)(1) 迁至由提供者拥有或运营的另一家持续照护机构,如果可用。
(2)CA 健康与安全 Code § 1793.82(a)(2) 迁至不由提供者拥有的持续照护机构。
(3)CA 健康与安全 Code § 1793.82(a)(3) 等同于合同剩余价值的货币补偿,如同该合同已完全履行一样。
(4)CA 健康与安全 Code § 1793.82(a)(4) 由提供者和住户或其代表双方同意的替代安排。
(b)CA 健康与安全 Code § 1793.82(b) 根据 (a) 款第 (1) 项或第 (2) 项提供的替代住房,应在成本、面积、服务、特色和设施方面与腾空的单元总体相当。如果住户选择 (a) 款第 (1) 项或第 (2) 项中的任何一种替代住房选项,提供者应承担合理的搬家费、仓储费(如适用)和交通费。
(c)CA 健康与安全 Code § 1793.82(c) 尽管有 (a) 款的规定,对于签订终身照护合同的住户,提供者应为住户在一家可比的机构确保替代住房和照护,且不向住户收取额外费用。替代住房和照护应符合第 1771 条 (l) 款和第 1788 条 (b) 款的规定。
(d)CA 健康与安全 Code § 1793.82(d) 提供者可以根据 (a) 款第 (2) 项按月提供搬迁,前提是条款在其他方面与 (a) 款一致。在 120 天后,选择非提供者拥有的机构的住户不得根据 (a) 款第 (3) 项寻求货币补偿。

Section § 1793.83

Explanation

这项法律规定,如果一个机构永久关闭,提供者必须在提交搬迁计划后的30天内,通过准备金、信托基金或履约保证金的形式,预留资金来支付居民的搬迁费用。这些资金必须至少与法律先前条款中规定的估计搬迁费用相符。

这些资金必须来源于特定的合格资产,并且不受留置权、判决或债权人索赔的影响。

(a)CA 健康与安全 Code § 1793.83(a) 当发生第1771条(p)款第(3)项所定义的永久关闭时,提供者应在向部门提交搬迁计划后30天内,设立准备金、设立信托基金或提供履约保证金,以确保履行与搬迁计划相关的义务和承诺。准备金、信托基金或履约保证金的金额应等于或大于根据第1793.81条和第1793.82条(a)款规定的居民搬迁估计费用以及与搬迁方案相关的费用。
(b)CA 健康与安全 Code § 1793.83(b) 准备金、信托基金或履约保证金应以第1792.2条(a)款第(1)项至第(5)项(含)所列的合格资产提供资金,且不得受任何留置权、判决、扣押或债权人索赔的影响。

Section § 1793.84

Explanation

本法律条款概述了机构永久关闭设施时的责任和程序。机构必须向相关部门提交月度进展报告,说明关闭进展和遇到的任何问题,直到所有居民都已搬迁并支付了款项。部门负责监督关闭和相关的搬迁计划,以确保其安全合法地进行。机构在准备好搬迁计划并将其提交给部门、居民、其代表以及当地长期护理申诉专员之前,不得搬迁居民或关闭设施。

(a)CA 健康与安全 Code § 1793.84(a) 机构应向部门提交月度进展报告,详细说明与第1771条 (p) 款 (3) 项所定义的永久关闭相关的进展和问题,直至所有受影响的居民都已迁出,并且所有应支付给受影响居民或代表其支付的款项均已支付。
(b)CA 健康与安全 Code § 1793.84(b) 部门应根据需要监督第1771条 (p) 款 (3) 项所定义的永久关闭和搬迁计划的实施,以确保机构完全遵守规定。如果部门认定机构违反本条规定关闭设施,或以危及居民健康或安全的方式关闭,部门应根据第7条(自第1793.5条起)行使其权力。
(c)CA 健康与安全 Code § 1793.84(c) 在第1793.81条要求的搬迁计划准备就绪并已提交给部门、设施的受影响居民及其指定代表以及当地长期护理申诉专员计划之前,机构不得采取任何行动搬迁任何居民或关闭设施。