As Passed by the Senate                       1            

123rd General Assembly                                             4            

   Regular Session                              Am. S. B. No. 178  5            

      1999-2000                                                    6            


      SENATORS SCHAFRATH-MUMPER-WHITE-DiDONATO-DRAKE-HAGAN-        8            

                  KEARNS-WACHTMANN-WATTS-CARNES                    9            


_________________________________________________________________   11           

                          A   B I L L                                           

             To amend sections 3721.01, 3721.02, 3721.021,         13           

                3721.03, 3721.07, 3721.08, 3721.09, and 3721.99    14           

                and to enact section 3721.051 of the Revised Code  15           

                to provide that a county home or district home                  

                may be licensed as a residential care facility     16           

                and, if licensed, the laws and rules governing     17           

                residential care facilities apply to the home.                  




BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:        19           

      Section 1.  That sections 3721.01, 3721.02, 3721.021,        21           

3721.03, 3721.07, 3721.08, 3721.09, and 3721.99 be amended and     22           

section 3721.051 of the Revised Code be enacted to read as         23           

follows:                                                                        

      Sec. 3721.01.  (A)  As used in sections 3721.01 to 3721.09   32           

and 3721.99 of the Revised Code:                                   33           

      (1)(a)  "Home" means an institution, residence, or facility  35           

that provides, for a period of more than twenty-four hours,        36           

whether for a consideration or not, accommodations to three or     37           

more unrelated individuals who are dependent upon the services of  38           

others, including a nursing home, residential care facility, home  39           

for the aging, and the Ohio veterans' home.                        40           

      (b)  "Home" also means any BOTH OF THE FOLLOWING:            42           

      (i)  ANY facility that a person, as defined in section       44           

3702.51 of the Revised Code, proposes for certification as a       45           

skilled nursing facility or nursing facility under Title XVIII or  46           

XIX of the "Social Security Act," 49 Stat. 620 (1935), 42          47           

                                                          2      


                                                                 
U.S.C.A. 301, as amended, and for which a certificate of need,     48           

other than a certificate to recategorize hospital beds as          49           

described in section 3702.522 of the Revised Code or division      50           

(R)(7)(d) of the version of section 3702.51 of the Revised Code    51           

in effect immediately prior to April 20, 1995, has been granted    52           

to the person under sections 3702.51 to 3702.62 of the Revised     53           

Code after August 5, 1989;                                                      

      (ii)  A COUNTY HOME OR DISTRICT HOME THAT IS OR HAS BEEN     55           

LICENSED AS A RESIDENTIAL CARE FACILITY.                           56           

      (c)  "Home" does not mean any of the following:              58           

      (i)  Except as provided in division (A)(1)(b) of this        60           

section, a public hospital or hospital as defined in section       61           

3701.01 or 5122.01 of the Revised Code;                            62           

      (ii)  A residential facility for mentally ill persons as     64           

defined under section 5119.22 of the Revised Code;                 65           

      (iii)  A residential facility as defined in section 5123.19  67           

of the Revised Code;                                               68           

      (iv)  A habilitation center as defined in section 5123.041   70           

of the Revised Code;                                               71           

      (v)  A community alternative home as defined in section      73           

3724.01 of the Revised Code;                                       74           

      (vi)  An adult care facility as defined in section 3722.01   76           

of the Revised Code;                                               77           

      (vii)  An alcohol or drug addiction program as defined in    79           

section 3793.01 of the Revised Code;                               80           

      (viii)  A facility licensed to provide methadone treatment   82           

under section 3793.11 of the Revised Code;                         83           

      (ix)  A facility providing services under contract with the  85           

department of mental retardation and developmental disabilities    86           

under section 5123.18 of the Revised Code;                         87           

      (x)  A facility operated by a hospice care program licensed  89           

under section 3712.04 of the Revised Code that is used             90           

exclusively for care of hospice patients;                          91           

      (xi)  A facility, infirmary, or other entity that is         94           

                                                          3      


                                                                 
operated by a religious order, provides care exclusively to        95           

members of religious orders who take vows of celibacy and live by  96           

virtue of their vows within the orders as if related, and does     97           

not participate in the medicare program established under Title    98           

XVIII of the "Social Security Act" or the medical assistance       99           

program established under Chapter 5111. of the Revised Code and    100          

Title XIX of the "Social Security Act," if on January 1, 1994,     101          

the facility, infirmary, or entity was providing care exclusively  102          

to members of the religious order;                                              

      (xii)  A COUNTY HOME OR DISTRICT HOME THAT HAS NEVER BEEN    104          

LICENSED AS A RESIDENTIAL CARE FACILITY.                           105          

      (2)  "Unrelated individual" means one who is not related to  107          

the owner or operator of a home or to the spouse of the owner or   109          

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

sister, niece, nephew, aunt, uncle, or as the child of an aunt or  110          

uncle.                                                                          

      (3)  "Mental impairment" does not mean mental illness as     112          

defined in section 5122.01 of the Revised Code or mental           113          

retardation as defined in section 5123.01 of the Revised Code.     114          

      (4)  "Skilled nursing care" means procedures that require    116          

technical skills and knowledge beyond those the untrained person   117          

possesses and that are commonly employed in providing for the      118          

physical, mental, and emotional needs of the ill or otherwise      119          

incapacitated.  "Skilled nursing care" includes, but is not        120          

limited to, the following:                                         121          

      (a)  Irrigations, catheterizations, application of           123          

dressings, and supervision of special diets;                       124          

      (b)  Objective observation of changes in the patient's       126          

condition as a means of analyzing and determining the nursing      127          

care required and the need for further medical diagnosis and       128          

treatment;                                                         129          

      (c)  Special procedures contributing to rehabilitation;      131          

      (d)  Administration of medication by any method ordered by   133          

a physician, such as hypodermically, rectally, or orally,          134          

                                                          4      


                                                                 
including observation of the patient after receipt of the          135          

medication;                                                        136          

      (e)  Carrying out other treatments prescribed by the         138          

physician that involve a similar level of complexity and skill in  139          

administration.                                                    140          

      (5)(a)  "Personal care services" means services including,   142          

but not limited to, the following:                                 143          

      (i)  Assisting residents with activities of daily living;    145          

      (ii)  Assisting residents with self-administration of        147          

medication, in accordance with rules adopted under section         148          

3721.04 of the Revised Code;                                       149          

      (iii)  Preparing special diets, other than complex           151          

therapeutic diets, for residents pursuant to the instructions of   152          

a physician or a licensed dietitian, in accordance with rules      153          

adopted under section 3721.04 of the Revised Code.                 154          

      (b)  "Personal care services" does not include "skilled      156          

nursing care" as defined in division (A)(4) of this section.  A    157          

facility need not provide more than one of the services listed in  158          

division (A)(5)(a) of this section to be considered to be          159          

providing personal care services.                                  160          

      (6)  "Nursing home" means a home used for the reception and  162          

care of individuals who by reason of illness or physical or        163          

mental impairment require skilled nursing care and of individuals  164          

who require personal care services but not skilled nursing care.   165          

A nursing home is licensed to provide personal care services and   166          

skilled nursing care.                                              167          

      (7)  "Residential care facility" means a home that provides  169          

either of the following:                                           170          

      (a)  Accommodations for seventeen or more unrelated          172          

individuals and supervision and personal care services for three   173          

or more of those individuals who are dependent on the services of  174          

others by reason of age or physical or mental impairment;          175          

      (b)  Accommodations for three or more unrelated              177          

individuals, supervision and personal care services for at least   178          

                                                          5      


                                                                 
three of those individuals who are dependent on the services of    179          

others by reason of age or physical or mental impairment, and, to  180          

at least one of those individuals, any of the skilled nursing      181          

care authorized by section 3721.011 of the Revised Code.           182          

      (8)  "Home for the aging" means a home that provides         184          

services as a residential care facility and a nursing home,        185          

except that the home provides its services only to individuals     186          

who are dependent on the services of others by reason of both age  187          

and physical or mental impairment.                                              

      The part or unit of a home for the aging that provides       189          

services only as a residential care facility is licensed as a      190          

residential care facility.  The part or unit that may provide      191          

skilled nursing care beyond the extent authorized by section       192          

3721.011 of the Revised Code is licensed as a nursing home.        193          

      (9)  "COUNTY HOME" AND "DISTRICT HOME" MEAN A COUNTY HOME    195          

OR DISTRICT HOME OPERATED UNDER CHAPTER 5155. OF THE REVISED       197          

CODE.                                                                           

      (B)  The public health council may further classify homes.   199          

For the purposes of this chapter, any residence, institution,      200          

hotel, congregate housing project, or similar facility that meets  201          

the definition of a home under this section is such a home         202          

regardless of how the facility holds itself out to the public.     203          

      (C)  For purposes of this chapter, personal care services    205          

or skilled nursing care shall be considered to be provided by a    206          

facility if they are provided by a person employed by or           207          

associated with the facility or by another person pursuant to an   208          

agreement to which neither the resident who receives the services  209          

nor his THE RESIDENT'S sponsor is a party.                         210          

      (D)  Nothing in division (A)(4) of this section shall be     212          

construed to permit skilled nursing care to be imposed on an       213          

individual who does not require skilled nursing care.              214          

      Nothing in division (A)(5) of this section shall be          216          

construed to permit personal care services to be imposed on an     217          

individual who is capable of performing the activity in question   218          

                                                          6      


                                                                 
without assistance.                                                219          

      (E)  Division (A)(1)(c)(xi) of this section does not         221          

prohibit a facility, infirmary, or other entity described in that  222          

division from seeking licensure under sections 3721.01 to 3721.09  224          

of the Revised Code or certification under Title XVIII or XIX of   225          

the "Social Security Act."  However, such a facility, infirmary,   226          

or entity that applies for licensure or certification must meet    227          

the requirements of those sections or titles and the rules         228          

adopted under them and obtain a certificate of need from the       229          

director of health under section 3702.52 of the Revised Code.      230          

      (F)  Nothing in this chapter, or rules adopted pursuant to   232          

it, shall be construed as authorizing the supervision,             233          

regulation, or control of the spiritual care or treatment of       234          

residents or patients in any home who rely upon treatment by       235          

prayer or spiritual means in accordance with the creed or tenets   236          

of any recognized church or religious denomination.                237          

      Sec. 3721.02.  The director of health shall license homes    246          

and establish procedures to be followed in inspecting and          247          

licensing homes.  The director may inspect a home at any time.     248          

Each home shall be inspected by the director at least once prior   249          

to the issuance of a license and at least once every fifteen       250          

months thereafter.  The state fire marshal or a township,          251          

municipal, or other legally constituted fire department approved   252          

by the marshal shall also inspect a home prior to issuance of a    253          

license, at least once every fifteen months thereafter, and at     254          

any other time requested by the director.  A home does not have    255          

to be inspected prior to issuance of a license by the director,    256          

state fire marshal, or a fire department if ownership of the home  257          

is assigned or transferred to a different person and the home was  258          

licensed under this chapter immediately prior to the assignment    259          

or transfer.  The director may enter at any time, for the          260          

purposes of investigation, any institution, residence, facility,   261          

or other structure which has been reported to the director or      262          

that the director has reasonable cause to believe is operating as  263          

                                                          7      


                                                                 
a, nursing home, residential care facility, or home for the aging  265          

without a valid license REQUIRED BY SECTION 3721.05 OF THE         266          

REVISED CODE OR, IN THE CASE OF A COUNTY HOME OR DISTRICT HOME,    267          

IS OPERATING DESPITE THE REVOCATION OF ITS RESIDENTIAL CARE        268          

FACILITY LICENSE.  The director may delegate his THE DIRECTOR'S    269          

authority and duties under this chapter to any division, bureau,   272          

agency, or official of the department of health.                   273          

      A single facility may be licensed both as a nursing home     275          

pursuant to this chapter and as an adult care facility pursuant    276          

to Chapter 3722. of the Revised Code if the director determines    277          

that the part or unit to be licensed as a nursing home can be      278          

maintained separate and discrete from the part or unit to be       279          

licensed as an adult care facility.                                280          

      In determining the number of residents in a home for the     282          

purpose of licensing, the director shall consider all the          283          

individuals for whom the home provides accommodations as one       284          

group unless one of the following is the case:                     285          

      (A)  The home is a home for the aging, in which case all     287          

the individuals in the part or unit licensed as a nursing home     288          

shall be considered as one group and all the individuals in the    289          

part or unit licensed as a rest home shall be considered as        290          

another group;                                                     291          

      (B)  The home is both a nursing home and an adult care       293          

facility.  In that case, all the individuals in the part or unit   294          

licensed as a nursing home shall be considered as one group and    295          

all the individuals in the part or unit licensed as an adult care  296          

facility shall be considered as another group.                     297          

      (C)  The home maintains, in addition to a nursing home or    299          

residential care facility, a separate and discrete part or unit    301          

that provides accommodations to individuals who do not require or               

receive skilled nursing care and do not receive personal care      302          

services from the home, in which case the individuals in the       303          

separate and discrete part or unit shall not be considered in      304          

determining the number of residents in the home if the separate    305          

                                                          8      


                                                                 
and discrete part or unit is in compliance with the Ohio basic     306          

building code established by the board of building standards       307          

under Chapters 3781. and 3791. of the Revised Code and the home    308          

permits the director, on request, to inspect the separate and      309          

discrete part or unit and speak with the individuals residing      310          

there, if they consent, to determine whether the separate and      311          

discrete part or unit meets the requirements of this division.     312          

      The director of health shall charge an application fee and   314          

an annual renewal licensing and inspection fee of one hundred      315          

dollars for each fifty persons or part thereof of a home's         316          

licensed capacity.  All fees collected by the director for the     317          

issuance or renewal of licenses shall be deposited into the state  318          

treasury to the credit of the general operations fund created in   319          

section 3701.83 of the Revised Code for use only in administering  320          

and enforcing this chapter and rules adopted under it.             321          

      Sec. 3721.021.  Every person who operates a home, as         330          

defined in section 3721.01 of the Revised Code, AND EACH COUNTY    332          

HOME AND DISTRICT HOME LICENSED AS A RESIDENTIAL CARE FACILITY     333          

shall have available in the home for review by prospective         334          

patients and residents, their guardians, or other persons                       

assisting in their placement, each inspection report completed     335          

pursuant to section 3721.02 of the Revised Code and each           336          

statement of deficiencies and plan of correction completed and     337          

made available to the public under Titles XVIII and XIX of the     338          

"Social Security Act," 49 Stat. 620 (1935), 42 U.S.C. 301, as      339          

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

including such reports that result from life safety code and       340          

health inspections during the preceding three years, and shall     341          

post prominently within the home a notice of this requirement.     342          

      Sec. 3721.03.  The director of health shall enforce the      352          

provisions of sections 3721.01 to 3721.09 and 3721.99 of the       353          

Revised Code and may issue orders to secure compliance with the    354          

provisions of these sections and the rules adopted under them. He  356          

THE DIRECTOR may hold hearings, issue subpoenas, compel                         

                                                          9      


                                                                 
testimony, and make adjudications.  In the event the director      358          

finds, upon hearing or opportunity afforded therefor, that any     359          

person, firm, partnership, association, or corporation, COUNTY     360          

HOME, OR DISTRICT HOME licensed under section 3721.07 of the       362          

Revised Code is in violation of any of the provisions of Chapter   363          

3721. of the Revised Code or rules adopted by the public health    364          

council under it; is in violation of any order issued by the       365          

director; is not, or any of its principals are not suitable,       366          

morally or financially to operate such an institution; or is not   367          

furnishing humane, kind, and adequate treatment and care, the      368          

director may issue an order revoking the license previously        369          

issued by him THE DIRECTOR.  Upon the issuance of any order of     371          

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

HOME OR DISTRICT HOME THAT HAS ITS LICENSE REVOKED, may appeal in  372          

accordance with Chapter 119. of the Revised Code.                  373          

      The state fire marshal shall enforce all statutes and rules  375          

pertaining to fire safety in homes and shall adopt rules           376          

pertaining to fire safety in homes as he THE MARSHAL determines    377          

necessary. The rules adopted by the marshal shall be in addition   379          

to those fire safety rules that the board of building standards    380          

and the public health council are empowered to adopt and shall be  381          

adopted prior to December 31, 1972.  In the event of a dispute     382          

between the marshal and another officer having responsibilities    383          

under sections 3721.01 to 3721.09 of the Revised Code with         384          

respect to the interpretation or application of a specific fire    385          

safety statute or rule, the interpretation of the marshal shall    386          

prevail.                                                                        

      If the ownership of a home is assigned or tranferred         388          

TRANSFERRED to a different person, the new owner is responsible    389          

and liable for compliance with any notice of proposed action or    390          

order issued under this section in accordance with Chapter 119.    391          

of the Revised Code prior to the effective date of the assignment  392          

or transfer.                                                                    

      Sec. 3721.051.  NO COUNTY HOME OR DISTRICT HOME LICENSED     394          

                                                          10     


                                                                 
UNDER SECTION 3721.07 OF THE REVISED CODE SHALL DO ANY OF THE      395          

FOLLOWING:                                                         396          

      (A)  VIOLATE ANY OF THE CONDITIONS OR REQUIREMENTS           398          

NECESSARY FOR LICENSING AFTER THE LICENSE HAS BEEN ISSUED;         399          

      (B)  CONTINUE OPERATION AFTER ITS LICENSE HAS BEEN REVOKED   401          

BY THE DIRECTOR OF HEALTH;                                         402          

      (C)  FAIL TO BE OPEN FOR AN INSPECTION, OR INTERFERE WITH    404          

AN INSPECTION, BY A STATE OR LOCAL OFFICIAL PERFORMING INSPECTION  405          

DUTIES UNDER CHAPTER 3721. OF THE REVISED CODE;                    406          

      (D)  VIOLATE ANY OF THE PROVISIONS OF THIS CHAPTER OR ANY    409          

RULES ADOPTED THEREUNDER.                                                       

      Sec. 3721.07.  Every person desiring to operate a home AND   419          

THE SUPERINTENDENT OR ADMINISTRATOR OF EACH COUNTY HOME OR                      

DISTRICT HOME FOR WHICH A LICENSE AS A RESIDENTIAL CARE FACILITY   420          

IS SOUGHT shall apply for a license to the director of health.     421          

The director shall issue a license for the home, if after          422          

investigation of the applicant and, if required by section         423          

3721.02 of the Revised Code, inspection of the home, the           424          

following requirements or conditions are satisfied or complied     425          

with:                                                              426          

      (A)  The applicant has not been convicted of a felony or a   428          

crime involving moral turpitude;                                   429          

      (B)  The applicant is not violating any of the rules made    431          

by the public health council or any order issued by the director   432          

of health;                                                         433          

      (C)  The buildings in which the home is housed have been     435          

approved by the state fire marshal or a township, municipal, or    436          

other legally constituted fire department approved by the          437          

marshal.  In the approval of a home such agencies shall apply      438          

standards prescribed by the board of building standards, and by    439          

the state fire marshal, and by section 3721.071 of the Revised     440          

Code.                                                              441          

      (D)  The applicant, if it is an individual, or the           443          

principal participants, if it is an association or a corporation,  444          

                                                          11     


                                                                 
is or are suitable financially and morally to operate a home;      445          

      (E)  The applicant is equipped to furnish humane, kind, and  447          

adequate treatment and care;                                       448          

      (F)  The home does not maintain or contain:                  450          

      (1)  Facilities for the performance of major surgical        452          

procedures;                                                        453          

      (2)  Facilities for providing therapeutic radiation;         455          

      (3)  An emergency ward;                                      457          

      (4)  A clinical laboratory unless it is under the            459          

supervision of a clinical pathologist who is a licensed physician  460          

in this state;                                                     461          

      (5)  Facilities for radiological examinations unless such    463          

examinations are performed only by a person licensed to practice   464          

medicine, surgery, or dentistry in this state.                     465          

      (G)  The home does not accept or treat outpatients, except   467          

upon the written orders of a physician licensed in this state,     468          

maternity cases, boarding children, and does not house transient   469          

guests, other than participants in an adult day-care program, for  470          

twenty-four hours or less;                                         471          

      (H)  The home is in compliance with sections 3721.28 and     473          

3721.29 of the Revised Code.                                       474          

      When the director issues a license, the license shall        476          

remain in effect until revoked by the director or voided at the    477          

request of the applicant; provided, there shall be an annual       478          

renewal fee payable during the month of January of each calendar   479          

year.  Any licensed home that does not pay its renewal fee in      480          

January shall pay, beginning the first day of February, a late     482          

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    483          

fee is not paid by the fifteenth day of February, the director     485          

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

the home's license.                                                486          

      A person whose license is revoked, AND A COUNTY HOME OR      488          

DISTRICT HOME THAT HAS ITS LICENSE AS A RESIDENTIAL CARE FACILITY  489          

                                                          12     


                                                                 
REVOKED, for any reason other than nonpayment of the license       491          

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      493          

revocation has elapsed.                                            494          

      Any applicant who is denied a license may appeal in          496          

accordance with Chapter 119. of the Revised Code.                  497          

      Sec. 3721.08.  (A)  As used in this section, "real and       506          

present danger" means imminent danger of serious physical or       507          

life-threatening harm to one or more occupants of a home.          508          

      (B)  The director of health may petition the court of        510          

common pleas of the county in which the home is located for an     511          

order enjoining any person from operating a home without a         512          

license OR ENJOINING A COUNTY HOME OR DISTRICT HOME THAT HAS HAD   513          

ITS LICENSE REVOKED FROM CONTINUING TO OPERATE.  The court shall   514          

have jurisdiction to grant such injunctive relief upon a showing   516          

that the respondent named in the petition is operating a home      517          

without a license OR THAT THE COUNTY HOME OR DISTRICT HOME NAMED   518          

IN THE PETITION IS OPERATING DESPITE THE REVOCATION OF ITS                      

LICENSE.  The court shall have jurisdiction to grant such          520          

injunctive relief against the operation of a home without a VALID  521          

license regardless of whether the home meets essential licensing   522          

requirements.                                                                   

      (C)  Unless the department of human services or contracting  524          

agency has taken action under section 5111.51 of the Revised Code  525          

to appoint a temporary manager or seek injunctive relief, if, in   526          

the judgment of the director of health, real and present danger    527          

exists at any home, the director may petition the court of common  528          

pleas of the county in which the home is located for such          529          

injunctive relief as is necessary to close the home, transfer one  530          

or more occupants to other homes or other appropriate care         531          

settings, or otherwise eliminate the real and present danger. The  533          

court shall have the jurisdiction to grant such injunctive relief  534          

upon a showing that there is real and present danger.                           

      (D)(1)  If the director determines that real and present     536          

                                                          13     


                                                                 
danger exists at a home and elects not to immediately seek         537          

injunctive relief under division (C) of this section, he THE       538          

DIRECTOR may give written notice of proposed action to the home.   540          

The notice shall specify all of the following:                     541          

      (a)  The nature of the conditions giving rise to the real    543          

and present danger;                                                544          

      (b)  The measures that the director determines the home      546          

must take to respond to the conditions;                            547          

      (c)  The date on which the director intends to seek          549          

injunctive relief under division (C) of this section if he THE     550          

DIRECTOR determines that real and present danger exists at the     552          

home.                                                                           

      (2)  If the home notifies the director, within the time      554          

specified pursuant to division (D)(1)(c) of this section, that it  555          

believes the conditions giving rise to the real and present        556          

danger have been substantially corrected, the director shall       557          

conduct an inspection to determine whether real and present        558          

danger exists.  If the director determines on the basis of the     559          

inspection that real and present danger exists, he THE DIRECTOR    560          

may petition under division (C) of this section for injunctive     562          

relief.                                                                         

      (E)(1)  If in the judgment of the director of health         564          

conditions exist at a home that will give rise to real and         565          

present danger if not corrected, the director shall give written   566          

notice of proposed action to the home.  The notice shall specify   567          

all of the following:                                              568          

      (a)  The nature of the conditions giving rise to the         570          

director's judgment;                                               571          

      (b)  The measures that the director determines the home      573          

must take to respond to the conditions;                            574          

      (c)  The date, which shall be no less than ten days after    576          

the notice is delivered, on which the director intends to seek     577          

injunctive relief under division (C) of this section if the        578          

conditions are not substantially corrected and he THE DIRECTOR     579          

                                                          14     


                                                                 
determines that a real and present danger exists.                  581          

      (2)  If the home notifies the director, within the period    583          

of time specified pursuant to division (E)(1)(c) of this section,  584          

that the conditions giving rise to the director's determination    585          

have been substantially corrected, the director shall conduct an   586          

inspection.  If the director determines on the basis of the        587          

inspection that the conditions have not been corrected and a real  588          

and present danger exists, he THE DIRECTOR may petition under      589          

division (C) of this section for injunctive relief.                591          

      (F)(1)  A court that grants injunctive relief under          593          

division (C) of this section may also appoint a special master     594          

who, subject to division (F)(2) of this section, shall have such   595          

powers and authority over the home and length of appointment as    596          

the court considers necessary.  Subject to division (F)(2) of      597          

this section, the salary of a special master and any costs         598          

incurred by a special master shall be the obligation of the home.  599          

      (2)  No special master shall enter into any employment       601          

contract on behalf of a home, or purchase with the home's funds    602          

any capital goods totaling more than ten thousand dollars, unless  603          

the special master has obtained approval for the contract or       604          

purchase from the home's operator or the court.                    605          

      (G)  If the director takes action under division (C), (D),   607          

or (E) of this section, he THE DIRECTOR may also appoint           608          

employees of the department of health to conduct on-site           610          

monitoring of the home. Appointment of monitors is not subject to  611          

appeal under Chapter 119. or any other section of the Revised      612          

Code.  No employee of a home for which monitors are appointed, no  613          

person employed by the home within the previous two years, and no  614          

person who currently has a consulting contract with the            615          

department or a home, shall be appointed under this division.      616          

Every monitor shall have the professional qualifications           617          

necessary to monitor correction of the conditions that give rise   618          

to or, in the director's judgment, will give rise to real and      619          

present danger.  The number of monitors present at a home at any   620          

                                                          15     


                                                                 
given time shall not exceed one for every fifty residents, or      621          

fraction thereof.                                                               

      (H)  On finding that the real and present danger for which   623          

injunctive relief was granted under division (C) of this section   624          

has been eliminated and that the home's operator has demonstrated  625          

the capacity to prevent the real and present danger from           626          

recurring, the court shall terminate its jurisdiction over the     627          

home and return control and management of the home to the          628          

operator.  If the real and present danger cannot be eliminated     629          

practicably within a reasonable time following appointment of a    630          

special master, the court may order the special master to close    631          

the home and transfer all residents to other homes or other        632          

appropriate care settings.                                         633          

      (I)  The director of health shall give notice of proposed    635          

action under divisions (D) and (E) of this section to both of the  636          

following:                                                         637          

      (1)  The home's administrator;                               639          

      (2)  If the home is operated by an organization described    641          

in subsection 501(c)(3) and tax exempt under subsection 501(a) of  642          

the "Internal Revenue Code of 1986," 100 Stat. 2085, 26 U.S.C.A.   643          

1, as amended, the board of trustees of the organization; or, if   644          

the home is not operated by such an organization, the owner of     645          

the home.                                                          646          

      Notices shall be delivered by certified mail or hand         648          

delivery.  If notices are mailed, they shall be addressed to the   649          

persons specified in divisions (I)(1) and (2) of this section, as  650          

indicated in the department of health's records.  If they are      651          

hand delivered, they shall be delivered to persons who would       652          

reasonably appear to the average prudent person to have authority  653          

to accept them.                                                    654          

      (J)  If ownership of a home is assigned or transferred to a  656          

different person, the new owner is responsible and liable for      657          

compliance with any notice of proposed action or order issued      658          

under this section prior to the effective date of the assignment   659          

                                                          16     


                                                                 
or transfer.                                                       660          

      Sec. 3721.09.  Sections 3721.02, 3721.03, 3721.04, 3721.05,  669          

3721.051, 3721.07, and 3721.08 of the Revised Code and the         671          

regulations adopted pursuant thereto are not applicable in         672          

political subdivisions which the the director of health, by        673          

annual certification, determines have adopted and are enforcing    674          

their own standards which are equal to or greater in their         675          

requirements than those of sections 3721.02, 3721.03, 3721.04,     676          

3721.05, 3721.051, 3721.07, and 3721.08 of the Revised Code and    678          

the regulations adopted pursuant thereto.  Officials of political  679          

subdivisions shall cooperate fully with the director and provide                

him THE DIRECTOR with information which he THE DIRECTOR finds      681          

necessary in order to make a determination.                        682          

      Sec. 3721.99.  (A)  Whoever violates section 3721.021,       691          

division (B), (D), or (E) of section 3721.05, DIVISION (A), (C),   693          

OR (D) OF SECTION 3721.051, section 3721.06, division (A) of       694          

section 3721.22, division (A) or (B) of section 3721.24, or        695          

division (E) or (F) of section 3721.30 of the Revised Code shall   696          

be fined one hundred dollars for a first offense.  For each        697          

subsequent offense, the violator shall be fined five hundred                    

dollars.                                                           698          

      (B)  Whoever violates division (A) or (C) of section         700          

3721.05 OR DIVISION (B) OF SECTION 3721.051 of the Revised Code    702          

shall be fined five thousand dollars for a first offense.  For     703          

each subsequent offense, the violator shall be fined ten thousand  704          

dollars.                                                                        

      (C)  Whoever violates division (D) of section 3721.031 or    706          

division (E) of section 3721.22 of the Revised Code is guilty of   707          

registering a false complaint, a misdemeanor of the first degree.  708          

      Section 2.  That existing sections 3721.01, 3721.02,         710          

3721.021, 3721.03, 3721.07, 3721.08, 3721.09, and 3721.99 of the   711          

Revised Code are hereby repealed.                                  712