As Introduced                            1            

123rd General Assembly                                             4            

   Regular Session                                  S. B. No. 178  5            

      1999-2000                                                    6            


            SENATORS SCHAFRATH-MUMPER-WHITE-DiDONATO               8            


_________________________________________________________________   10           

                          A   B I L L                                           

             To amend sections 3721.01, 3721.02, 3721.021,         12           

                3721.03, 3721.07, 3721.08, 3721.09, and 3721.99    13           

                and to enact section 3721.051 of the Revised Code  14           

                to provide that a county home or district home                  

                may be licensed as a residential care facility     15           

                and, if licensed, the laws and rules governing     16           

                residential care facilities apply to the home.                  




BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:        18           

      Section 1.  That sections 3721.01, 3721.02, 3721.021,        20           

3721.03, 3721.07, 3721.08, 3721.09, and 3721.99 be amended and     21           

section 3721.051 of the Revised Code be enacted to read as         22           

follows:                                                                        

      Sec. 3721.01.  (A)  As used in sections 3721.01 to 3721.09   31           

and 3721.99 of the Revised Code:                                   32           

      (1)(a)  "Home" means an institution, residence, or facility  34           

that provides, for a period of more than twenty-four hours,        35           

whether for a consideration or not, accommodations to three or     36           

more unrelated individuals who are dependent upon the services of  37           

others, including a nursing home, residential care facility, home  38           

for the aging, and the Ohio veterans' home.                        39           

      (b)  "Home" also means any BOTH OF THE FOLLOWING:            41           

      (i)  ANY facility that a person, as defined in section       43           

3702.51 of the Revised Code, proposes for certification as a       44           

skilled nursing facility or nursing facility under Title XVIII or  45           

XIX of the "Social Security Act," 49 Stat. 620 (1935), 42          46           

U.S.C.A. 301, as amended, and for which a certificate of need,     47           

                                                          2      


                                                                 
other than a certificate to recategorize hospital beds as          48           

described in section 3702.522 of the Revised Code or division      49           

(R)(7)(d) of the version of section 3702.51 of the Revised Code    50           

in effect immediately prior to April 20, 1995, has been granted    51           

to the person under sections 3702.51 to 3702.62 of the Revised     52           

Code after August 5, 1989;                                                      

      (ii)  A COUNTY HOME OR DISTRICT HOME THAT IS OR HAS BEEN     54           

LICENSED AS A RESIDENTIAL CARE FACILITY.                           55           

      (c)  "Home" does not mean any of the following:              57           

      (i)  Except as provided in division (A)(1)(b) of this        59           

section, a public hospital or hospital as defined in section       60           

3701.01 or 5122.01 of the Revised Code;                            61           

      (ii)  A residential facility for mentally ill persons as     63           

defined under section 5119.22 of the Revised Code;                 64           

      (iii)  A residential facility as defined in section 5123.19  66           

of the Revised Code;                                               67           

      (iv)  A habilitation center as defined in section 5123.041   69           

of the Revised Code;                                               70           

      (v)  A community alternative home as defined in section      72           

3724.01 of the Revised Code;                                       73           

      (vi)  An adult care facility as defined in section 3722.01   75           

of the Revised Code;                                               76           

      (vii)  An alcohol or drug addiction program as defined in    78           

section 3793.01 of the Revised Code;                               79           

      (viii)  A facility licensed to provide methadone treatment   81           

under section 3793.11 of the Revised Code;                         82           

      (ix)  A facility providing services under contract with the  84           

department of mental retardation and developmental disabilities    85           

under section 5123.18 of the Revised Code;                         86           

      (x)  A facility operated by a hospice care program licensed  88           

under section 3712.04 of the Revised Code that is used             89           

exclusively for care of hospice patients;                          90           

      (xi)  A facility, infirmary, or other entity that is         93           

operated by a religious order, provides care exclusively to        94           

                                                          3      


                                                                 
members of religious orders who take vows of celibacy and live by  95           

virtue of their vows within the orders as if related, and does     96           

not participate in the medicare program established under Title    97           

XVIII of the "Social Security Act" or the medical assistance       98           

program established under Chapter 5111. of the Revised Code and    99           

Title XIX of the "Social Security Act," if on January 1, 1994,     100          

the facility, infirmary, or entity was providing care exclusively  101          

to members of the religious order;                                              

      (xii)  A COUNTY HOME OR DISTRICT HOME THAT HAS NEVER BEEN    103          

LICENSED AS A RESIDENTIAL CARE FACILITY.                           104          

      (2)  "Unrelated individual" means one who is not related to  106          

the owner or operator of a home or to the spouse of the owner or   108          

operator as a parent, grandparent, child, grandchild, brother,                  

sister, niece, nephew, aunt, uncle, or as the child of an aunt or  109          

uncle.                                                                          

      (3)  "Mental impairment" does not mean mental illness as     111          

defined in section 5122.01 of the Revised Code or mental           112          

retardation as defined in section 5123.01 of the Revised Code.     113          

      (4)  "Skilled nursing care" means procedures that require    115          

technical skills and knowledge beyond those the untrained person   116          

possesses and that are commonly employed in providing for the      117          

physical, mental, and emotional needs of the ill or otherwise      118          

incapacitated.  "Skilled nursing care" includes, but is not        119          

limited to, the following:                                         120          

      (a)  Irrigations, catheterizations, application of           122          

dressings, and supervision of special diets;                       123          

      (b)  Objective observation of changes in the patient's       125          

condition as a means of analyzing and determining the nursing      126          

care required and the need for further medical diagnosis and       127          

treatment;                                                         128          

      (c)  Special procedures contributing to rehabilitation;      130          

      (d)  Administration of medication by any method ordered by   132          

a physician, such as hypodermically, rectally, or orally,          133          

including observation of the patient after receipt of the          134          

                                                          4      


                                                                 
medication;                                                        135          

      (e)  Carrying out other treatments prescribed by the         137          

physician that involve a similar level of complexity and skill in  138          

administration.                                                    139          

      (5)(a)  "Personal care services" means services including,   141          

but not limited to, the following:                                 142          

      (i)  Assisting residents with activities of daily living;    144          

      (ii)  Assisting residents with self-administration of        146          

medication, in accordance with rules adopted under section         147          

3721.04 of the Revised Code;                                       148          

      (iii)  Preparing special diets, other than complex           150          

therapeutic diets, for residents pursuant to the instructions of   151          

a physician or a licensed dietitian, in accordance with rules      152          

adopted under section 3721.04 of the Revised Code.                 153          

      (b)  "Personal care services" does not include "skilled      155          

nursing care" as defined in division (A)(4) of this section.  A    156          

facility need not provide more than one of the services listed in  157          

division (A)(5)(a) of this section to be considered to be          158          

providing personal care services.                                  159          

      (6)  "Nursing home" means a home used for the reception and  161          

care of individuals who by reason of illness or physical or        162          

mental impairment require skilled nursing care and of individuals  163          

who require personal care services but not skilled nursing care.   164          

A nursing home is licensed to provide personal care services and   165          

skilled nursing care.                                              166          

      (7)  "Residential care facility" means a home that provides  168          

either of the following:                                           169          

      (a)  Accommodations for seventeen or more unrelated          171          

individuals and supervision and personal care services for three   172          

or more of those individuals who are dependent on the services of  173          

others by reason of age or physical or mental impairment;          174          

      (b)  Accommodations for three or more unrelated              176          

individuals, supervision and personal care services for at least   177          

three of those individuals who are dependent on the services of    178          

                                                          5      


                                                                 
others by reason of age or physical or mental impairment, and, to  179          

at least one of those individuals, any of the skilled nursing      180          

care authorized by section 3721.011 of the Revised Code.           181          

      (8)  "Home for the aging" means a home that provides         183          

services as a residential care facility and a nursing home,        184          

except that the home provides its services only to individuals     185          

who are dependent on the services of others by reason of both age  186          

and physical or mental impairment.                                              

      The part or unit of a home for the aging that provides       188          

services only as a residential care facility is licensed as a      189          

residential care facility.  The part or unit that may provide      190          

skilled nursing care beyond the extent authorized by section       191          

3721.011 of the Revised Code is licensed as a nursing home.        192          

      (9)  "COUNTY HOME" AND "DISTRICT HOME" MEAN A COUNTY HOME    194          

OR DISTRICT HOME OPERATED UNDER CHAPTER 5155. OF THE REVISED       196          

CODE.                                                                           

      (B)  The public health council may further classify homes.   198          

For the purposes of this chapter, any residence, institution,      199          

hotel, congregate housing project, or similar facility that meets  200          

the definition of a home under this section is such a home         201          

regardless of how the facility holds itself out to the public.     202          

      (C)  For purposes of this chapter, personal care services    204          

or skilled nursing care shall be considered to be provided by a    205          

facility if they are provided by a person employed by or           206          

associated with the facility or by another person pursuant to an   207          

agreement to which neither the resident who receives the services  208          

nor his THE RESIDENT'S sponsor is a party.                         209          

      (D)  Nothing in division (A)(4) of this section shall be     211          

construed to permit skilled nursing care to be imposed on an       212          

individual who does not require skilled nursing care.              213          

      Nothing in division (A)(5) of this section shall be          215          

construed to permit personal care services to be imposed on an     216          

individual who is capable of performing the activity in question   217          

without assistance.                                                218          

                                                          6      


                                                                 
      (E)  Division (A)(1)(c)(xi) of this section does not         220          

prohibit a facility, infirmary, or other entity described in that  221          

division from seeking licensure under sections 3721.01 to 3721.09  223          

of the Revised Code or certification under Title XVIII or XIX of   224          

the "Social Security Act."  However, such a facility, infirmary,   225          

or entity that applies for licensure or certification must meet    226          

the requirements of those sections or titles and the rules         227          

adopted under them and obtain a certificate of need from the       228          

director of health under section 3702.52 of the Revised Code.      229          

      (F)  Nothing in this chapter, or rules adopted pursuant to   231          

it, shall be construed as authorizing the supervision,             232          

regulation, or control of the spiritual care or treatment of       233          

residents or patients in any home who rely upon treatment by       234          

prayer or spiritual means in accordance with the creed or tenets   235          

of any recognized church or religious denomination.                236          

      Sec. 3721.02.  The director of health shall license homes    245          

and establish procedures to be followed in inspecting and          246          

licensing homes.  The director may inspect a home at any time.     247          

Each home shall be inspected by the director at least once prior   248          

to the issuance of a license and at least once every fifteen       249          

months thereafter.  The state fire marshal or a township,          250          

municipal, or other legally constituted fire department approved   251          

by the marshal shall also inspect a home prior to issuance of a    252          

license, at least once every fifteen months thereafter, and at     253          

any other time requested by the director.  A home does not have    254          

to be inspected prior to issuance of a license by the director,    255          

state fire marshal, or a fire department if ownership of the home  256          

is assigned or transferred to a different person and the home was  257          

licensed under this chapter immediately prior to the assignment    258          

or transfer.  The director may enter at any time, for the          259          

purposes of investigation, any institution, residence, facility,   260          

or other structure which has been reported to the director or      261          

that the director has reasonable cause to believe is operating as  262          

a, nursing home, residential care facility, or home for the aging  264          

                                                          7      


                                                                 
without a valid license REQUIRED BY SECTION 3721.05 OF THE         265          

REVISED CODE OR, IN THE CASE OF A COUNTY HOME OR DISTRICT HOME,    266          

IS OPERATING DESPITE THE REVOCATION OF ITS RESIDENTIAL CARE        267          

FACILITY LICENSE.  The director may delegate his THE DIRECTOR'S    268          

authority and duties under this chapter to any division, bureau,   271          

agency, or official of the department of health.                   272          

      A single facility may be licensed both as a nursing home     274          

pursuant to this chapter and as an adult care facility pursuant    275          

to Chapter 3722. of the Revised Code if the director determines    276          

that the part or unit to be licensed as a nursing home can be      277          

maintained separate and discrete from the part or unit to be       278          

licensed as an adult care facility.                                279          

      In determining the number of residents in a home for the     281          

purpose of licensing, the director shall consider all the          282          

individuals for whom the home provides accommodations as one       283          

group unless one of the following is the case:                     284          

      (A)  The home is a home for the aging, in which case all     286          

the individuals in the part or unit licensed as a nursing home     287          

shall be considered as one group and all the individuals in the    288          

part or unit licensed as a rest home shall be considered as        289          

another group;                                                     290          

      (B)  The home is both a nursing home and an adult care       292          

facility.  In that case, all the individuals in the part or unit   293          

licensed as a nursing home shall be considered as one group and    294          

all the individuals in the part or unit licensed as an adult care  295          

facility shall be considered as another group.                     296          

      (C)  The home maintains, in addition to a nursing home or    298          

residential care facility, a separate and discrete part or unit    300          

that provides accommodations to individuals who do not require or               

receive skilled nursing care and do not receive personal care      301          

services from the home, in which case the individuals in the       302          

separate and discrete part or unit shall not be considered in      303          

determining the number of residents in the home if the separate    304          

and discrete part or unit is in compliance with the Ohio basic     305          

                                                          8      


                                                                 
building code established by the board of building standards       306          

under Chapters 3781. and 3791. of the Revised Code and the home    307          

permits the director, on request, to inspect the separate and      308          

discrete part or unit and speak with the individuals residing      309          

there, if they consent, to determine whether the separate and      310          

discrete part or unit meets the requirements of this division.     311          

      The director of health shall charge an application fee and   313          

an annual renewal licensing and inspection fee of one hundred      314          

dollars for each fifty persons or part thereof of a home's         315          

licensed capacity.  All fees collected by the director for the     316          

issuance or renewal of licenses shall be deposited into the state  317          

treasury to the credit of the general operations fund created in   318          

section 3701.83 of the Revised Code for use only in administering  319          

and enforcing this chapter and rules adopted under it.             320          

      Sec. 3721.021.  Every person who operates a home, as         329          

defined in section 3721.01 of the Revised Code, AND EACH COUNTY    331          

HOME AND DISTRICT HOME LICENSED AS A RESIDENTIAL CARE FACILITY     332          

shall have available in the home for review by prospective         333          

patients and residents, their guardians, or other persons                       

assisting in their placement, each inspection report completed     334          

pursuant to section 3721.02 of the Revised Code and each           335          

statement of deficiencies and plan of correction completed and     336          

made available to the public under Titles XVIII and XIX of the     337          

"Social Security Act," 49 Stat. 620 (1935), 42 U.S.C. 301, as      338          

amended, and any rules promulgated under Titles XVIII and XIX,                  

including such reports that result from life safety code and       339          

health inspections during the preceding three years, and shall     340          

post prominently within the home a notice of this requirement.     341          

      Sec. 3721.03.  The director of health shall enforce the      351          

provisions of sections 3721.01 to 3721.09 and 3721.99 of the       352          

Revised Code and may issue orders to secure compliance with the    353          

provisions of these sections and the rules adopted under them. He  355          

THE DIRECTOR may hold hearings, issue subpoenas, compel                         

testimony, and make adjudications.  In the event the director      357          

                                                          9      


                                                                 
finds, upon hearing or opportunity afforded therefor, that any     358          

person, firm, partnership, association, or corporation, COUNTY     359          

HOME, OR DISTRICT HOME licensed under section 3721.07 of the       361          

Revised Code is in violation of any of the provisions of Chapter   362          

3721. of the Revised Code or rules adopted by the public health    363          

council under it; is in violation of any order issued by the       364          

director; is not, or any of its principals are not suitable,       365          

morally or financially to operate such an institution; or is not   366          

furnishing humane, kind, and adequate treatment and care, the      367          

director may issue an order revoking the license previously        368          

issued by him BY THE DIRECTOR.  Upon the issuance of any order of  370          

revocation, the person whose license is revoked, OR THE COUNTY                  

HOME OR DISTRICT HOME THAT HAS ITS LICENSE REVOKED, may appeal in  371          

accordance with Chapter 119. of the Revised Code.                  372          

      The state fire marshal shall enforce all statutes and rules  374          

pertaining to fire safety in homes and shall adopt rules           375          

pertaining to fire safety in homes as he THE MARSHAL determines    376          

necessary. The rules adopted by the marshal shall be in addition   378          

to those fire safety rules that the board of building standards    379          

and the public health council are empowered to adopt and shall be  380          

adopted prior to December 31, 1972.  In the event of a dispute     381          

between the marshal and another officer having responsibilities    382          

under sections 3721.01 to 3721.09 of the Revised Code with         383          

respect to the interpretation or application of a specific fire    384          

safety statute or rule, the interpretation of the marshal shall    385          

prevail.                                                                        

      If the ownership of a home is assigned or tranferred         387          

TRANSFERRED to a different person, the new owner is responsible    388          

and liable for compliance with any notice of proposed action or    389          

order issued under this section in accordance with Chapter 119.    390          

of the Revised Code prior to the effective date of the assignment  391          

or transfer.                                                                    

      Sec. 3721.051.  NO COUNTY HOME OR DISTRICT HOME LICENSED     393          

UNDER SECTION 3721.07 OF THE REVISED CODE SHALL DO ANY OF THE      394          

                                                          10     


                                                                 
FOLLOWING:                                                         395          

      (A)  VIOLATE ANY OF THE CONDITIONS OR REQUIREMENTS           397          

NECESSARY FOR LICENSING AFTER THE LICENSE HAS BEEN ISSUED;         398          

      (B)  CONTINUE OPERATION AFTER ITS LICENSE HAS BEEN REVOKED   400          

BY THE DIRECTOR OF HEALTH;                                         401          

      (C)  FAIL TO BE OPEN FOR AN INSPECTION, OR INTERFERE WITH    403          

AN INSPECTION, BY A STATE OR LOCAL OFFICIAL PERFORMING INSPECTION  404          

DUTIES UNDER CHAPTER 3721. OF THE REVISED CODE;                    405          

      (D)  VIOLATE ANY OF THE PROVISIONS OF THIS CHAPTER OR ANY    408          

RULES ADOPTED THEREUNDER.                                                       

      Sec. 3721.07.  Every person desiring to operate a home AND   418          

THE SUPERINTENDENT OR ADMINISTRATOR OF EACH COUNTY HOME OR                      

DISTRICT HOME FOR WHICH A LICENSE AS A RESIDENTIAL CARE FACILITY   419          

IS SOUGHT shall apply for a license to the director of health.     420          

The director shall issue a license for the home, if after          421          

investigation of the applicant and, if required by section         422          

3721.02 of the Revised Code, inspection of the home, the           423          

following requirements or conditions are satisfied or complied     424          

with:                                                              425          

      (A)  The applicant has not been convicted of a felony or a   427          

crime involving moral turpitude;                                   428          

      (B)  The applicant is not violating any of the rules made    430          

by the public health council or any order issued by the director   431          

of health;                                                         432          

      (C)  The buildings in which the home is housed have been     434          

approved by the state fire marshal or a township, municipal, or    435          

other legally constituted fire department approved by the          436          

marshal.  In the approval of a home such agencies shall apply      437          

standards prescribed by the board of building standards, and by    438          

the state fire marshal, and by section 3721.071 of the Revised     439          

Code.                                                              440          

      (D)  The applicant, if it is an individual, or the           442          

principal participants, if it is an association or a corporation,  443          

is or are suitable financially and morally to operate a home;      444          

                                                          11     


                                                                 
      (E)  The applicant is equipped to furnish humane, kind, and  446          

adequate treatment and care;                                       447          

      (F)  The home does not maintain or contain:                  449          

      (1)  Facilities for the performance of major surgical        451          

procedures;                                                        452          

      (2)  Facilities for providing therapeutic radiation;         454          

      (3)  An emergency ward;                                      456          

      (4)  A clinical laboratory unless it is under the            458          

supervision of a clinical pathologist who is a licensed physician  459          

in this state;                                                     460          

      (5)  Facilities for radiological examinations unless such    462          

examinations are performed only by a person licensed to practice   463          

medicine, surgery, or dentistry in this state.                     464          

      (G)  The home does not accept or treat outpatients, except   466          

upon the written orders of a physician licensed in this state,     467          

maternity cases, boarding children, and does not house transient   468          

guests, other than participants in an adult day-care program, for  469          

twenty-four hours or less;                                         470          

      (H)  The home is in compliance with sections 3721.28 and     472          

3721.29 of the Revised Code.                                       473          

      When the director issues a license, the license shall        475          

remain in effect until revoked by the director or voided at the    476          

request of the applicant; provided, there shall be an annual       477          

renewal fee payable during the month of January of each calendar   478          

year.  Any licensed home that does not pay its renewal fee in      479          

January shall pay, beginning the first day of February, a late     481          

fee of one hundred dollars for each week or part thereof that the               

renewal fee is not paid.  If either the renewal fee or the late    482          

fee is not paid by the fifteenth day of February, the director     484          

may, in accordance with Chapter 119. of the Revised Code, revoke                

the home's license.                                                485          

      A person whose license is revoked, AND A COUNTY HOME OR      487          

DISTRICT HOME THAT HAS ITS LICENSE AS A RESIDENTIAL CARE FACILITY  488          

REVOKED, for any reason other than nonpayment of the license       490          

                                                          12     


                                                                 
renewal fee or late fees may not apply for a new license under                  

this chapter until a period of one year following the date of      492          

revocation has elapsed.                                            493          

      Any applicant who is denied a license may appeal in          495          

accordance with Chapter 119. of the Revised Code.                  496          

      Sec. 3721.08.  (A)  As used in this section, "real and       505          

present danger" means imminent danger of serious physical or       506          

life-threatening harm to one or more occupants of a home.          507          

      (B)  The director of health may petition the court of        509          

common pleas of the county in which the home is located for an     510          

order enjoining any person from operating a home without a         511          

license OR ENJOINING A COUNTY HOME OR DISTRICT HOME THAT HAS HAD   512          

ITS LICENSE REVOKED FROM CONTINUING TO OPERATE.  The court shall   513          

have jurisdiction to grant such injunctive relief upon a showing   515          

that the respondent named in the petition is operating a home      516          

without a license OR THAT THE COUNTY HOME OR DISTRICT HOME NAMED   517          

IN THE PETITION IS OPERATING DESPITE THE REVOCATION OF ITS                      

LICENSE.  The court shall have jurisdiction to grant such          519          

injunctive relief against the operation of a home without a VALID  520          

license regardless of whether the home meets essential licensing   521          

requirements.                                                                   

      (C)  Unless the department of human services or contracting  523          

agency has taken action under section 5111.51 of the Revised Code  524          

to appoint a temporary manager or seek injunctive relief, if, in   525          

the judgment of the director of health, real and present danger    526          

exists at any home, the director may petition the court of common  527          

pleas of the county in which the home is located for such          528          

injunctive relief as is necessary to close the home, transfer one  529          

or more occupants to other homes or other appropriate care         530          

settings, or otherwise eliminate the real and present danger. The  532          

court shall have the jurisdiction to grant such injunctive relief  533          

upon a showing that there is real and present danger.                           

      (D)(1)  If the director determines that real and present     535          

danger exists at a home and elects not to immediately seek         536          

                                                          13     


                                                                 
injunctive relief under division (C) of this section, he THE       537          

DIRECTOR may give written notice of proposed action to the home.   539          

The notice shall specify all of the following:                     540          

      (a)  The nature of the conditions giving rise to the real    542          

and present danger;                                                543          

      (b)  The measures that the director determines the home      545          

must take to respond to the conditions;                            546          

      (c)  The date on which the director intends to seek          548          

injunctive relief under division (C) of this section if he THE     549          

DIRECTOR determines that real and present danger exists at the     551          

home.                                                                           

      (2)  If the home notifies the director, within the time      553          

specified pursuant to division (D)(1)(c) of this section, that it  554          

believes the conditions giving rise to the real and present        555          

danger have been substantially corrected, the director shall       556          

conduct an inspection to determine whether real and present        557          

danger exists.  If the director determines on the basis of the     558          

inspection that real and present danger exists, he THE DIRECTOR    559          

may petition under division (C) of this section for injunctive     561          

relief.                                                                         

      (E)(1)  If in the judgment of the director of health         563          

conditions exist at a home that will give rise to real and         564          

present danger if not corrected, the director shall give written   565          

notice of proposed action to the home.  The notice shall specify   566          

all of the following:                                              567          

      (a)  The nature of the conditions giving rise to the         569          

director's judgment;                                               570          

      (b)  The measures that the director determines the home      572          

must take to respond to the conditions;                            573          

      (c)  The date, which shall be no less than ten days after    575          

the notice is delivered, on which the director intends to seek     576          

injunctive relief under division (C) of this section if the        577          

conditions are not substantially corrected and he THE DIRECTOR     578          

determines that a real and present danger exists.                  580          

                                                          14     


                                                                 
      (2)  If the home notifies the director, within the period    582          

of time specified pursuant to division (E)(1)(c) of this section,  583          

that the conditions giving rise to the director's determination    584          

have been substantially corrected, the director shall conduct an   585          

inspection.  If the director determines on the basis of the        586          

inspection that the conditions have not been corrected and a real  587          

and present danger exists, he THE DIRECTOR may petition under      588          

division (C) of this section for injunctive relief.                590          

      (F)(1)  A court that grants injunctive relief under          592          

division (C) of this section may also appoint a special master     593          

who, subject to division (F)(2) of this section, shall have such   594          

powers and authority over the home and length of appointment as    595          

the court considers necessary.  Subject to division (F)(2) of      596          

this section, the salary of a special master and any costs         597          

incurred by a special master shall be the obligation of the home.  598          

      (2)  No special master shall enter into any employment       600          

contract on behalf of a home, or purchase with the home's funds    601          

any capital goods totaling more than ten thousand dollars, unless  602          

the special master has obtained approval for the contract or       603          

purchase from the home's operator or the court.                    604          

      (G)  If the director takes action under division (C), (D),   606          

or (E) of this section, he THE DIRECTOR may also appoint           607          

employees of the department of health to conduct on-site           609          

monitoring of the home. Appointment of monitors is not subject to  610          

appeal under Chapter 119. or any other section of the Revised      611          

Code.  No employee of a home for which monitors are appointed, no  612          

person employed by the home within the previous two years, and no  613          

person who currently has a consulting contract with the            614          

department or a home, shall be appointed under this division.      615          

Every monitor shall have the professional qualifications           616          

necessary to monitor correction of the conditions that give rise   617          

to or, in the director's judgment, will give rise to real and      618          

present danger.  The number of monitors present at a home at any   619          

given time shall not exceed one for every fifty residents, or      620          

                                                          15     


                                                                 
fraction thereof.                                                               

      (H)  On finding that the real and present danger for which   622          

injunctive relief was granted under division (C) of this section   623          

has been eliminated and that the home's operator has demonstrated  624          

the capacity to prevent the real and present danger from           625          

recurring, the court shall terminate its jurisdiction over the     626          

home and return control and management of the home to the          627          

operator.  If the real and present danger cannot be eliminated     628          

practicably within a reasonable time following appointment of a    629          

special master, the court may order the special master to close    630          

the home and transfer all residents to other homes or other        631          

appropriate care settings.                                         632          

      (I)  The director of health shall give notice of proposed    634          

action under divisions (D) and (E) of this section to both of the  635          

following:                                                         636          

      (1)  The home's administrator;                               638          

      (2)  If the home is operated by an organization described    640          

in subsection 501(c)(3) and tax exempt under subsection 501(a) of  641          

the "Internal Revenue Code of 1986," 100 Stat. 2085, 26 U.S.C.A.   642          

1, as amended, the board of trustees of the organization; or, if   643          

the home is not operated by such an organization, the owner of     644          

the home.                                                          645          

      Notices shall be delivered by certified mail or hand         647          

delivery.  If notices are mailed, they shall be addressed to the   648          

persons specified in divisions (I)(1) and (2) of this section, as  649          

indicated in the department of health's records.  If they are      650          

hand delivered, they shall be delivered to persons who would       651          

reasonably appear to the average prudent person to have authority  652          

to accept them.                                                    653          

      (J)  If ownership of a home is assigned or transferred to a  655          

different person, the new owner is responsible and liable for      656          

compliance with any notice of proposed action or order issued      657          

under this section prior to the effective date of the assignment   658          

or transfer.                                                       659          

                                                          16     


                                                                 
      Sec. 3721.09.  Sections 3721.02, 3721.03, 3721.04, 3721.05,  668          

3721.051, 3721.07, and 3721.08 of the Revised Code and the         670          

regulations adopted pursuant thereto are not applicable in         671          

political subdivisions which the the director of health, by        672          

annual certification, determines have adopted and are enforcing    673          

their own standards which are equal to or greater in their         674          

requirements than those of sections 3721.02, 3721.03, 3721.04,     675          

3721.05, 3721.051, 3721.07, and 3721.08 of the Revised Code and    677          

the regulations adopted pursuant thereto.  Officials of political  678          

subdivisions shall cooperate fully with the director and provide                

him THE DIRECTOR with information which he THE DIRECTOR finds      680          

necessary in order to make a determination.                        681          

      Sec. 3721.99.  (A)  Whoever violates section 3721.021,       690          

division (B), (D), or (E) of section 3721.05, DIVISION (A), (C),   692          

OR (D) OF SECTION 3721.051, section 3721.06, division (A) of       693          

section 3721.22, division (A) or (B) of section 3721.24, or        694          

division (E) or (F) of section 3721.30 of the Revised Code shall   695          

be fined one hundred dollars for a first offense.  For each        696          

subsequent offense, the violator shall be fined five hundred                    

dollars.                                                           697          

      (B)  Whoever violates division (A) or (C) of section         699          

3721.05 OR DIVISION (B) OF SECTION 3721.051 of the Revised Code    701          

shall be fined five thousand dollars for a first offense.  For     702          

each subsequent offense, the violator shall be fined ten thousand  703          

dollars.                                                                        

      (C)  Whoever violates division (D) of section 3721.031 or    705          

division (E) of section 3721.22 of the Revised Code is guilty of   706          

registering a false complaint, a misdemeanor of the first degree.  707          

      Section 2.  That existing sections 3721.01, 3721.02,         709          

3721.021, 3721.03, 3721.07, 3721.08, 3721.09, and 3721.99 of the   710          

Revised Code are hereby repealed.                                  711