2002 Legislative Session: 3rd Session, 37th Parliament
FIRST READING


The following electronic version is for informational purposes only.
The printed version remains the official version.


HONOURABLE KATHERINE WHITTRED
MINISTER OF STATE FOR INTERMEDIATE,
LONG TERM AND HOME CARE

BILL 73 -- 2002

COMMUNITY CARE AND ASSISTED LIVING ACT

Contents

Section

 
Part 1 -- Definitions and Application of Act
1 

Definitions

2 

Application

 
Part 2 -- Community Care Facilities

3 

Director of licensing

4 

Powers of director of licensing

5 

Operating or advertising without a licence

6  Age of licensee or manager
7  Standards to be maintained
8  Certification of educators of children
9  Inspection of community care facilities
10  Not operating
11  Powers of medical health officer
12  Deemed licences
13  Suspension or cancellation of licence
14  Summary action
15  Duties of the medical health officer
16  Exemptions
17  Reconsideration
18  Certain advertisements or inducements prohibited
19  Repayment agreements
20  Certain laws not to apply
21  Arbitration in case of conflicting regulations
22  Protection for persons who report
23  Appointment of administrator

 
Part 3 -- Assisted Living Residences

24  Assisted living registrar
25  Powers of registrar
26  Operating an assisted living residence
27  Suspension or cancellation of registration
28  Reconsideration

 
Part 4 -- General

29  Appeals to the board
30 

Panels and procedure

31  Filing of orders of the board in the Supreme Court
32  Immunity
33  Offence and penalty
34 

Power to make regulations

35 - 57  Consequential Amendments and Repeals
58  Commencement

HER MAJESTY, by and with the advice and consent of the Legislative Assembly of the Province of British Columbia, enacts as follows:

Part 1 -- Definitions and Application of Act

Definitions

1 In this Act:

"adult" means a person 19 years of age or older;

"assisted living residence" means a premises or part of a premises, other than a community care facility,

(a) in which housing, hospitality services and at least one but not more than 2 prescribed services are provided by or through the operator to 3 or more adults who are not related by blood or marriage to the operator of the premises, or

(b) designated by the Lieutenant Governor in Council to be an assisted living residence;

"board" means the Community Care and Assisted Living Appeal Board continued under section 29;

"care" means supervision that is provided to

(a) a child through a prescribed program,

(b) a child or youth through a prescribed residential program, or

(c) an adult who is

(i) vulnerable because of family circumstances, age, disability, illness or frailty, and

(ii) dependent on caregivers for continuing assistance or direction in the form of 3 or more prescribed services;

"child" means a person under the age of 13 years;

"community care facility" means a premises or part of a premises

(a) in which a person provides care to 3 or more persons who are not related by blood or marriage to the person and includes any other premises or part of a premises that, in the opinion of the medical health officer, is used in conjunction with the community care facility for the purpose of providing care, or

(b) designated by the Lieutenant Governor in Council to be a community care facility;

"director of licensing" means the director of licensing designated under section 3 and includes, for the purposes of a delegation made under section 3 (2), the person to whom the delegation is made;

"employee" includes

(a) a volunteer,

(b) a person providing services under contract or other person ordinarily present at a community care facility but does not include a person in care, or

(c) a person providing services under a contract or other person ordinarily present at an assisted living residence but does not include a resident;

"health authority" means a body designated under section 4 of the Health Authorities Act;

"hospitality services" means meal services, housekeeping services, laundry services, social and recreational opportunities and a 24 hour emergency response system;

"licence" means a licence issued under section 11;

"licensee" means a person, including an aboriginal governing body however organized and established by aboriginal people within their traditional territory in British Columbia, that holds a licence;

"manager" means an individual whom the licensee has authorized to manage the operation of the community care facility;

"medical health officer" means a medical health officer appointed under the Health Act;

"minister" includes a person designated in writing by the minister;

"municipality" means any municipality or regional district as defined under the Local Government Act and includes

(a) any local trust committee as defined in the Islands Trust Act, and

(b) the City of Vancouver;

"person in care" means a person who resides in or attends a community care facility for the purpose of receiving care;

"premises" means a building or structure and includes outside areas adjacent to the building or structure ordinarily used in the course of providing services;

"prescribed services" means services prescribed under section 34 to be prescribed services;

"registrant" means an operator of an assisted living residence registered under section 25;

"registration" means a registration under section 25 (1);

"registrar" means the assisted living registrar designated under section 24 and includes, for the purposes of a delegation under section 24 (2), the person to whom the delegation is made;

"resident" means a person who resides at an assisted living residence;

"sibling group" means a group of 3 or more children

(a) who reside in the same household if they are in the care of a person who is, with respect to each child,

(i) a parent of the child,

(ii) a person with whom the child is placed under the Child, Family and Community Service Act,

(iii) a person who has custody or guardianship of the child under an order of a court, or

(iv) the spouse of a person referred to in subparagraph (i) or (iii) if that person resides in the household, or

(b) who are recognized by the director of licensing as a sibling group;

"youth" means a person who is neither a child nor an adult for the purposes of this Act.

Application

2 This Act does not apply to any of the following:

(a) a school under the School Act;

(b) a school under the Independent School Act;

(c) a francophone school as defined in the School Act;

(d) a hospital or portion of a hospital as defined in the Hospital Act;

(e) a home approved as a foster home under the Child, Family and Community Service Act;

(f) a home designated as a youth custody centre under the Correction Act;

(g) a school primarily providing, in the opinion of the director of licensing, educational training for children 6 years of age or older;

(h) a designated facility under the Mental Health Act;

(i) a home providing day care for a sibling group only;

(j) a community care facility that is exempted, or is within a class exempted, under section 34 (5) (d);

(k) an assisted living residence that is exempted, or is within a class exempted, under section 34 (5) (d).

 
Part 2 -- Community Care Facilities

Director of licensing

3 (1) The minister must designate a person who is employed under the Public Service Act to be the director of licensing.

(2) The director of licensing may delegate, in writing, any power or duty of the director of licensing under this Act or the regulations to

(a) a person who, in the opinion of the director of licensing, possesses the experience and qualifications suitable to carry out the tasks as delegated, or

(b) a medical health officer.

(3) A delegation under subsection (2) may include any terms or conditions the director of licensing considers advisable.

Powers of director of licensing

4 (1) Subject to this Act and the regulations, the director of licensing may

(a) require a health authority to provide routine or special reports on

(i) the operation of licensed community care facilities within the area for which the health authority has responsibility,

(ii) the operation of the licensing program of the health authority, and

(iii) the results of any investigations of community care facilities, or investigations of complaints, conducted for it within the area for which it has responsibility,

(b) inspect or make an order for the inspection of any books, records or premises in connection with the operation of a community care facility,

(c) require a health authority to conduct an audit of the operations of a community care facility,

(d) carry out or order the investigation of

(i) a reportable incident, as prescribed in the regulations, at a community care facility, or

(ii) a matter affecting the health or safety of a person in care,

(e) specify policies and standards of practice for all community care facilities or a class of community care facilities, and

(f) make other orders the director of licensing considers necessary for the proper operation of a community care facility or for the health and safety of persons in care, including an order that is contrary to the decision of a medical health officer.

(2) A health authority must ensure that its employees and appointees comply with an order made under subsection (1).

Operating or advertising without a licence

5 A person who does not hold a licence must not

(a) operate, or hold themselves out as operating, a community care facility,

(b) provide, or hold themselves out as providing, care in a community care facility, or

(c) accommodate, or hold themselves out as accommodating, a person who, in the opinion of a medical health officer, requires care in a community care facility.

Age of licensee or manager

6 A person must be an adult to be a licensee or to manage a community care facility.

Standards to be maintained

7 (1) A licensee must do all of the following:

(a) employ at a community care facility only persons of good character who meet the standards for employees specified in the regulations;

(b) operate the community care facility in a manner that will promote the health, safety and dignity of persons in care;

(c) display the licence in the prescribed manner;

(d) appoint a manager for the community care facility.

(2) For purposes of subsection (1) (d), a licensee who is not a corporation may also be a manager.

Certification of educators of children

8 (1) A certificate may be issued to a person in accordance with the regulations stating that the person has the qualifications required by the regulations for certification as an educator of children, or as an educator in the manner specified in the certificate respecting children, at a community care facility.

(2) A certificate issued under subsection (1) or under section 9 of the Community Care Facility Act, R.S.B.C. 1996, c. 60, may be suspended or cancelled, or terms and conditions may be attached to it, following a hearing established and conducted in accordance with the regulations.

Inspection of community care facilities

9 (1) A licensee must ensure that the community care facility for which their licence is issued is open at all times to visitation and inspection by the director of licensing or a medical health officer, who may

(a) examine any part of the facility,

(b) require the licensee to produce for inspection, or for the purpose of obtaining copies or extracts, the financial and other records of the community care facility that can reasonably be presumed to contain information relevant to the administration of this Act and the regulations,

(c) inquire into and inspect all matters concerning the community care facility, its operations, employees and persons in care, including any treatment or rehabilitation program carried out in the community care facility, and

(d) make a record of matters described in paragraph (c) and of the condition of the facility.

(2) If the director of licensing or a medical health officer has cause to believe that a premises is being used or is intended to be used as a community care facility and that premises is not licensed under this Act, the director of licensing or medical health officer may

(a) enter and inspect any part of the premises,

(b) require the owner or occupant to produce for inspection, or for the purpose of obtaining copies or extracts, the financial and other records respecting the premises that can reasonably be presumed to contain information relevant to the administration of this Act and the regulations,

(c) request full information from the owner or occupant respecting

(i) the purpose for which the premises is being used,

(ii) the operations, employees and persons in care at the premises, and

(iii) the treatments or rehabilitation being given to persons at the premises, and

(d) make a record of matters described in paragraph (c) and of the condition of the premises.

(3) A copy made or an extract taken under this section, certified by the person carrying out the inspection as a true copy of or extract from the original, is admissible in evidence to the same extent as, and has the same evidentiary value as, the record of which it is a copy or from which it is an extract.

(4) The director of licensing or a medical health officer must not enter a private single family dwelling under subsection (2) (a) unless

(a) the occupier of the dwelling consents to the entry, or

(b) the entry is authorized by a warrant under subsection (5).

(5) A justice may issue a warrant authorizing the director of licensing or a medical health officer to enter a private single family dwelling under subsection (2) (a) if

(a) there is cause to believe that the dwelling is being used or is intended to be used as a community care facility and is not licensed under this Act,

(b) entry to the dwelling by the director of licensing or a medical health officer is necessary to ascertain whether the dwelling is being used or is intended to be used as a community care facility, and

(c) entry to the dwelling by the director of licensing or a medical health officer has been refused or there are reasonable grounds for believing that entry will be refused.

(6) The director of licensing or a medical health officer must not use force to execute a warrant issued under subsection (5) unless the use of force is specifically authorized in the warrant.

(7) In this section, "private single family dwelling" means a structure that is used primarily as a personal residence by the owner, occupier or an employee or agent of the owner or occupier.

Not operating

10 If a licensee does not operate a premises as a community care facility at any time during a 12 consecutive month period,

(a) the licence expires automatically on the last day of the 12th month, and

(b) the person in possession of the licence must immediately surrender that licence to a medical health officer.

Powers of medical health officer

11 (1) Subject to this Act and the regulations, a medical health officer may issue to an applicant a licence to operate a community care facility and specify in the licence the types of care that may be provided in the community care facility.

(2) A medical health officer must not issue a licence under subsection (1) unless the medical health officer is of the opinion that the applicant,

(a) if a person, other than a corporation,

(i) is of good character,

(ii) has the training, experience and other qualifications required under the regulations, and

(iii) has the personality, ability and temperament necessary to operate a community care facility in a manner that will maintain the spirit, dignity and individuality of the persons being cared for, or

(b) if a corporation,

(i) has a director permanently resident in British Columbia,

(ii) has appointed as manager of the community care facility a person who meets the requirements under paragraph (a), and

(iii) has delegated to that manager full authority to operate the community care facility in accordance with the requirements of this Act and the regulations.

(3) On issuing a licence under subsection (1), a medical health officer may attach the terms and conditions to the licence, subject to this Act and the regulations, that the medical health officer considers necessary or advisable for the health and safety of persons in care.

(4) In considering whether to attach terms and conditions under subsection (3), the medical health officer must have regard to the standards of practice specified by the director of licensing under section 4 (1) (e).

(5) A licence issued under subsection (1) is cancelled if its holder assigns or otherwise transfers it to another person.

Deemed licences

12 (1) A licence, issued under Part 2 of the Hospital Act, that is in force on the date that Part is repealed is deemed to be a licence issued under section 11 (1).

(2) For a licence deemed under subsection (1) to be issued under section 11 (1), the terms and conditions of the licence are the terms and conditions of the licence that was issued under Part 2 of the Hospital Act.

(3) If a not for profit institution that on the day before the date this subsection comes into force was a hospital as defined in section 1 of the Hospital Act by reason of paragraph (c) of that definition, the operator of the former hospital is deemed to be licensed under section 11 (1).

Suspension or cancellation of licence

13 (1) A medical health officer may suspend or cancel a licence, attach terms or conditions to a licence or vary the existing terms and conditions of a licence if, in the opinion of the medical health officer, the licensee

(a) no longer complies with this Act or the regulations,

(b) has contravened a relevant enactment of British Columbia or of Canada, or

(c) has contravened a term or condition of the licence.

(2) If a medical health officer suspends or cancels a licence, the licensee, a corporation of which the licensee is an insider or an associate of the licensee are prohibited from applying for a new licence with respect to any premises that the licensee proposes to use as a community care facility for

(a) one year from the date of the decision to cancel the licence, or

(b) the period of the licence suspension.

(3) In this section:

"associate" has the same meaning as in section 1 (1) of the Company Act;

"insider" means an "insider of a corporation" as defined in section 1 (1) of the Company Act.

Summary action

14 A medical health officer may suspend a licence, attach terms or conditions to the licence, or vary terms or conditions of that licence, without notice if the medical health officer has reasonable grounds to believe that there is an immediate risk to the health or safety of a person in care.

Duties of the medical health officer

15 (1) Within the area for which he or she is appointed, a medical health officer must

(a) investigate every application for a licence to operate a community care facility or any other matter relevant to the application,

(b) investigate every complaint that

(i) an unlicensed community care facility is being operated, or

(ii) a community care facility is being operated that does not fully comply with this Act, the regulations or the terms or conditions of its licence,

(c) carry out inspections of any community care facility that is being operated, and

(d) perform additional duties in the administration of this Act or the regulations that the Lieutenant Governor in Council, the minister or the director of licensing may order.

(2) A medical health officer may continue and complete an investigation of a licensee or a former licensee after

(a) the licence has expired or been cancelled or suspended, or

(b) the licensee has surrendered the licence.

Exemptions

16 (1) A medical health officer may grant an exemption from a requirement of this Act or the regulations to a licensee or an applicant for a licence who applies for the exemption, if satisfied that

(a) there will be no increased risk to the health and safety of persons in care, and

(b) the exemption meets prescribed requirements.

(2) A medical health officer may attach terms and conditions to the exemption and suspend, cancel or vary an exemption granted under subsection (1) in the same manner as under sections 13 and 14.

Reconsideration

17 (1) In this section:

"action", in relation to a licence, means

(a) a refusal to issue a licence under section 11 (1),

(b) an attachment, under section 11 (3), of terms or conditions,

(c) a suspension or cancellation, an attachment of terms or conditions, or a variation of terms or conditions under section 13 (1), or

(d) a suspension or cancellation of an exemption or an attachment or variation of terms or conditions under section 16 (2);

"summary action" means a suspension or cancellation of a licence, an attachment of terms or conditions to the licence, or a variation of those terms or conditions under section 14;

"written response" means a written response referred to in subsection (2) (b).

(2) Thirty days before taking an action or as soon as practicable after taking a summary action, a medical health officer must give the licensee or applicant for the licence

(a) written reasons for the action or summary action, and

(b) written notice that the licensee or applicant for the licence may give a written response to the medical health officer setting out reasons why the medical health officer should act under subsection (3) (a) or (b) respecting the action or summary action.

(3) If a medical health officer considers that this would be appropriate to give proper effect to section 11, 13, 14 or 16 in the circumstances, the medical health officer may, on receipt of a written response,

(a) delay or suspend the implementation of an action or a summary action until the medical health officer makes a decision under paragraph (b), or

(b) confirm, rescind, vary, or substitute for the action or summary action.

(4) A medical health officer must not act under subsection (3) (a) unless the medical health officer is satisfied that

(a) further time is needed to consider the written response,

(b) the written response sets out facts or arguments that, if confirmed, would establish reasonable grounds for the medical health officer to act under subsection (3) (b), and

(c) it is reasonable to conclude that

(i) if the delay or suspension is granted, the health or safety of no person in care will be placed at risk, and

(ii) the licensee or applicant for the licence will suffer a significant loss during the proposed delay or suspension, if the delay or suspension is not granted.

(5) A medical health officer must give written reasons to the licensee or applicant for the licence on acting or declining to act under subsection (3).

(6) A licensee or applicant for the licence may not give a medical health officer a further written response concerning an action or summary action on or after receipt of written reasons under subsection (5) concerning the action or summary action.

Certain advertisements or inducements prohibited

18 (1) In this section:

"licensee" includes an officer or director of the licensee and an agent, designate or employee of the licensee;

"personal representative" includes the following:

(a) an executor within the meaning of the Wills Act;

(b) a representative under the Representation Agreement Act;

(c) a trustee of an estate or part of an estate under administration;

(d) a decision maker or guardian under the Adult Guardianship Act.

(2) A licensee must not bring, or cause to be brought, advertise for or in any way encourage the entry into British Columbia of a person under 19 years of age to become a person in care without first obtaining the written approval of the director designated under the Child, Family and Community Service Act.

(3) A licensee must not do any of the following:

(a) persuade or induce, or attempt to persuade or induce, a person in care or a resident to

(i) make or alter a will,

(ii) make a gift,

(iii) provide a benefit for the licensee, the licensee's spouse, relative or friend, or

(iv) conduct the financial affairs of the person in care for the benefit of the licensee, the licensee's spouse, relative or friend;

(b) require that a person seeking admission to a community care facility, as a condition of admission, make any payment or donation other than as specified in a written contract;

(c) act under the authority of a power of attorney granted to the licensee by a person in care;

(d) act as a personal representative or committee of the estate of a person in care or formerly in care, unless the licensee is a child, parent or spouse of the person in care or formerly in care;

(e) act as a representative under an agreement made under the Representation Agreement Act by a person in care or formerly in care, unless the licensee is a child, parent or spouse of the person in care or formerly in care.

(4) A provision of a will, an alteration of a will, a gift, a provision of a benefit or another measure described in subsection (3) (a) (i) to (iv) is void if

(a) it confers a benefit on the licensee or the licensee's spouse, relative or friend, and

(b) the Public Guardian and Trustee has not given written consent to it.

(5) A power of attorney, or a disposition made under the power of attorney, described in subsection (3) (c) is void, unless

(a) the licensee is a child, parent or spouse of the person in care, or

(b) the Public Guardian and Trustee consents in writing to the power of attorney or the disposition.

Repayment agreements

19 If a person prepays part of the cost of services provided by a class of community care facilities designated by the Lieutenant Governor in Council, the licensee must, at the time of the prepayment, deliver to the person a written statement setting out the terms and conditions on which a refund of all or any of the prepayment will be made.

Certain laws not to apply

20 If a licence is issued for a community care facility that

(a) is being, or is to be, used

(i) as a day care for no more than 8 persons, or

(ii) as a residence for no more than 10 persons, not more than 6 of whom are persons in care, who, in the event of a fire, can safely exit unaided or be removed from the facility by its staff, and

(b) complies with all enactments of British Columbia and of the municipality where the community care facility is located, relating to fire and health respecting a single family dwelling house

then a provision in an enactment of British Columbia, other than this Act, or of a municipality, does not apply to the community care facility if that provision would

(c) limit the number of persons in care that may be accepted or accommodated at that facility or limit the types of care that may be provided to the persons in care at that facility, or

(d) apply to the community care facility only because

(i) it is not being used as a single family dwelling house, or

(ii) it operates as a community care facility, a charitable enterprise or a commercial venture.

Arbitration in case of conflicting regulations

21 (1) If a municipality refuses an application for a variation of, or for an exemption from, an enactment of the municipality relating to fire and health respecting a single family dwelling house, the applicant for a licence to use as a community care facility a premises that does not comply with the enactment may notify the minister and the municipality in writing that the applicant requires the matter to be determined by arbitration.

(2) On receiving the notification under subsection (1), the minister must appoint an arbitrator.

(3) An arbitrator appointed under subsection (2), after considering the public interest, may

(a) dismiss the application, or

(b) order that the applicant be exempted from the enactment.

(4) An order made under subsection (3) is final and binding on the applicant and the municipality, and if the premises is exempted under subsection (3) (b), subsequent owners of the premises continue, subject to compliance with this Act, to be exempted from the enactment so long as the premises is operated by a licensee as a community care facility.

(5) Except as otherwise provided in this section, the Commercial Arbitration Act applies to an arbitration under this Act, but the applicant for a licence must pay the fees and expenses described in section 26 (1) of the Commercial Arbitration Act.

Protection for persons who report

22 (1) No action or other proceeding may be brought against a person for reporting abuse under this Part if the report is made in good faith.

(2) A licensee must not take action against its employee or agent because that person made a report under subsection (1).

(3) A licensee or other person must not alter, interrupt or discontinue, or threaten to alter, interrupt or discontinue, service to a person in care as a result of a report or a suggested or stated intention to make the report under subsection (1).

Appointment of administrator

23 (1) The minister may appoint an administrator to operate a community care facility for a period specified by the minister if the minister has reasonable grounds to believe that there is a risk to the health or safety of a person in care.

(2) The minister must serve the licensee or operator with notice of the appointment of an administrator.

(3) The administrator may exercise all powers necessary to continue the operation of the community care facility and, without limitation, may

(a) hire staff and pay their remuneration,

(b) order the persons in care to pay any fees or charges directly to the administrator, and

(c) notify the minister responsible for the administration of the Financial Administration Act of the appointment.

(4) If the minister responsible for the administration of the Financial Administration Act is notified of an administrator's appointment, all payments by the government for services provided to persons cared for at that community care facility must be made directly to the administrator.

(5) The administrator must provide to the minister an accounting of the operation of the community care facility at the end of the period of the appointment, and any excess of revenue over expenditure must, after deduction of the administrator's fees, be paid to the licensee or operator.

(6) The minister must determine the fees to be paid to the administrator, but, if there is insufficient money to pay those fees under subsection (5), the minister must pay the difference.

(7) If the minister must pay the difference under subsection (6), the amount of the difference is a debt owed by the licensee or operator to the government and the debt is payable on demand.

 
Part 3 -- Assisted Living Residences

Assisted living registrar

24 (1) The minister must designate a person to be the assisted living registrar.

(2) The registrar may delegate, in writing, any power or duty of the registrar under this Act or the regulations to a person who, in the opinion of the registrar, possesses the experience and qualifications suitable to carry out the tasks as delegated.

(3) A delegation under subsection (2) may include any terms or conditions the registrar considers advisable.

Powers of registrar

25 (1) Subject to this Act and the regulations, the registrar may register an assisted living residence if the registrar is satisfied that the housing, hospitality services and prescribed services will be provided to residents in a manner that will not jeopardize their health or safety.

(2) If the registrar has reason to believe that an unregistered assisted living residence is being operated or that the health or safety of a resident is at risk, the registrar may

(a) enter and inspect any premises relating to the operation of the assisted living residence,

(b) inspect and make a copy of or extract from any book or record at a premises described in paragraph (a), or

(c) make a record of anything observed during an inspection under paragraph (a) or (b).

(3) Section 9 (3) to (7) applies to

(a) the registrar as though the registrar was the director of licensing,

(b) an assisted living residence as though it was a community care facility,

(c) a registration as though it was a licence, and

(d) an entry under subsection (5) (a) as though it was an entry under section 9 (2) (a).

(4) For the purposes of section 9 (7), the personal residence of a resident is a private single family dwelling.

Operating an assisted living residence

26 (1) A person must not operate an assisted living residence that is not registered under section 25 (1).

(2) A person may apply for registration of an assisted living residence in a form satisfactory to the registrar.

(3) A registrant must not house in an assisted living residence persons who are unable to make decisions on their own behalf.

(4) Subsection (3) does not apply to an involuntary patient on leave under section 37 of the Mental Health Act.

(5) A registrant must ensure that the assisted living residence is operated in a manner that does not jeopardize the health or safety of its residents.

Suspension or cancellation of registration

27 The registrar may suspend or cancel a registration, attach conditions to a registration or vary the conditions of a registration if, in the opinion of the registrar, the registrant

(a) no longer complies with this Act or the regulations,

(b) has contravened a relevant enactment of British Columbia or of Canada, or

(c) has contravened a condition of the registration.

Reconsideration

28 (1) In this section:

"action", in relation to a registration, means

(a) a refusal of a registration under section 25, or

(b) a suspension or cancellation, an imposition of conditions or a variation of conditions under section 27;

"written response" means a written response referred to in subsection (2) (b).

(2) Thirty days before taking an action the registrar must give the registrant or applicant for registration

(a) written reasons for the action, and

(b) written notice that the registrant or applicant for registration may give a written response to the registrar setting out reasons why the registrar should act under subsection (3) (a) or (b) respecting the action.

(3) If the registrar considers that this would be appropriate to give proper effect to section 25 or 27 in the circumstances, the registrar may, on receipt of a written response,

(a) delay or suspend the implementation of an action until the registrar makes a decision under paragraph (b), or

(b) confirm, rescind, vary or substitute for the action.

(4) The registrar must not act under subsection (3) (a) unless the registrar is satisfied that

(a) further time is needed to consider the written response,

(b) the written response sets out facts or arguments that, if confirmed, would establish reasonable grounds for the registrar to act under subsection (3) (b), and

(c) it is reasonable to conclude that

(i) if the delay or suspension is granted, the health or safety of no resident will be placed at risk, and

(ii) the registrant or applicant for registration will suffer a significant loss during the proposed delay or suspension, if the delay or suspension is not granted.

(5) The registrar must give written reasons to the registrant or applicant for registration on acting or declining to act under subsection (3).

(6) A registrant or applicant for registration may not give the registrar a further written response concerning an action on or after receipt of written reasons under subsection (5) concerning the action.

 
Part 4 -- General

Appeals to the board

29 (1) The Community Care Facility Appeal Board is continued as the Community Care and Assisted Living Appeal Board consisting of a chair and other members the Lieutenant Governor in Council appoints.

(2) A licensee, an applicant for a licence, a holder of a certificate under section 8, an applicant for a certificate under section 8, a registrant or an applicant for registration may appeal to the board in the prescribed manner within 30 days of receiving notification that

(a) the minister has appointed an administrator under section 23,

(b) a medical health officer has acted or declined to act under section 17 (3) (b),

(c) the registrar has acted or declined to act under section 28 (3) (b), or

(d) a person has refused to issue a certificate, suspended or cancelled a certificate or attached terms or conditions to a certificate under section 8.

(3) Within 30 days after a decision is made under section 16 to grant an exemption from this Act and the regulations, the decision may be appealed to the board under this section by

(a) a person in care or the agent or personal representative of a person in care, or

(b) a spouse, relative or friend of a person in care.

(4) An application to appeal under subsection (2) or (3) must be accompanied by the prescribed filing fee, and this fee must be remitted if the board grants the appeal.

(5) The person whose action described in subsection (2) is being appealed is a party to the appeal proceedings.

(6) An appeal to the board does not suspend the effect of the decision under appeal unless the board is satisfied, on summary application, that a stay would not risk the health or safety of a person in care.

(7) The board may extend the time for appeal on application by either party.

(8) Before or during a hearing of the board, the chair of the board may issue a summons for the attendance of a witness at the hearing and the production of records by the witness at that hearing.

(9) Failure of a witness to comply with a summons issued under subsection (8) makes the witness, on application by the chair to the Supreme Court, liable to be committed for contempt as if in breach of an order or judgment of the Supreme Court.

(10) The testimony of a witness may be taken under oath, or by affirmation, which a member of the board may administer.

(11) The board must receive evidence and argument as if a proceeding before the board were a decision of first instance but the applicant bears the burden of proving that the decision under appeal was not justified.

(12) The board may confirm, reverse or vary a decision under appeal, or may send the matter back for reconsideration, with or without directions, to the person whose decision is under appeal.

(13) A member may complete the hearing of a matter commenced before the member resigns or the member's term ends.

(14) If the board gives a party written notice requiring the party to diligently pursue their appeal and the party fails to act on the notice within the time specified in the notice, the board may dismiss the appeal on the motion of a party or on its own initiative.

(15) Subject to this Act and the regulations, the board may set its own practices and procedure.

Panels and procedure

30 (1) The chair of the board

(a) must, in accordance with the regulations, organize the board into panels, each consisting of up to 3 members,

(b) may, for each appeal under section 29, designate the member or members of the panel and the chair of the panel, and

(c) may assign to a panel any appeal that is to be heard by the board.

(2) In appeals assigned under subsection (1), the panel has all the jurisdiction of the board and a decision or order of the panel is a decision or order of the board.

(3) Subject to the regulations, a panel may determine how a hearing before the panel is to be conducted, including whether submissions to the panel are to be made in person, in writing, by conference call or by other means of communication.

(4) If a panel has more than one member, the decision of the majority of the panel is the panel's decision.

(5) If there is no majority, the decision of the member chairing the panel is the panel's decision.

(6) Section 29 (13) applies to a member of a panel.

Filing of orders of the board in the Supreme Court

31 (1) The chair of the board may file in the Supreme Court an order made by the board or a panel under section 29 or 30.

(2) An order filed under subsection (1) is enforceable in the same manner as an order of the Supreme Court.

Immunity

32 (1) Subject to subsection (2), no legal proceeding for damages lies or may be commenced or maintained against the director of licensing, the registrar, a medical health officer or a member of the board or a person acting on behalf or under the direction of any of them because of anything done or omitted

(a) in the performance or intended performance of any duty under this Act, or

(b) in the exercise or intended exercise of any power under this Act.

(2) Subsection (1) does not apply to a person referred to in that subsection in relation to anything done or omitted by that person in bad faith.

(3) Subsection (1) does not absolve the government, a health authority or an employer from vicarious liability arising out of anything done or omitted by a person referred to in that subsection for which the government, health authority or employer would be vicariously liable if this section were not in force.

(4) A member of the board is not, in a civil action to which the member is not a party, required to testify or produce evidence about records or information obtained in the discharge of duties under this Act.

Offence and penalty

33 (1) A person who contravenes section 5, 6, 18 (2) or (3) or 26 (1) of this Act or a term or condition attached to a licence commits an offence.

(2) A person who commits an offence under subsection (1) is liable to a fine of up to $10 000.

(3) If an offence under subsection (1) is of a continuing nature, each day that the offence continues constitutes a separate offence.

Power to make regulations

34 (1) The Lieutenant Governor in Council may make regulations referred to in section 41 of the Interpretation Act.

(2) Without limiting subsection (1), the Lieutenant Governor in Council may make regulations respecting community care facilities as follows:

(a) prescribing how an application for a licence to operate a community care facility must be made to a medical health officer, and the form and content of the application;

(b) prescribing programs for the purposes of paragraph (a) of the definition of "care" in section 1;

(c) prescribing residential programs for the purposes of paragraph (b) of the definition of "care" in section 1;

(d) prescribing the minimum requirements that the applicant and the community care facility must meet before a medical health officer can issue the licence for which an application is made;

(e) prescribing standards of construction for, and the facilities, equipment and furnishings that must be contained in, community care facilities;

(f) prescribing the duties and responsibilities of a licensee and the licensee's employees and managers;

(g) prescribing the training, experience and other qualifications required for licensees and their employees and managers;

(h) prescribing for the purposes of section 8, who may issue certificates, what the qualifications are for certification, who may suspend, cancel or add terms and conditions to a certificate and what practices and procedures must be followed for these purposes;

(i) prescribing the records required to be kept by a licensee and the reports to be submitted to the medical health officer or the director of licensing;

(j) prescribing the services and programs that licensees must or may provide for persons in care and the standards that must be met in the delivery and administration of those programs and services;

(k) prescribing the extent of physical, mental or emotional disabilities of persons that a licensee may accept, accommodate or care for in a community care facility;

(l) prescribing the minimum and maximum age, and the maximum number, of persons who may be accepted, accommodated or cared for in different classes of community care facilities;

(m) prescribing the maximum number of hours that a person may be accepted, accommodated or cared for in different classes of community care facilities;

(n) limiting the conditions of admission that a licensee may require of a person seeking admission to a community care facility and the restrictions that a licensee may impose on a person in care;

(o) prescribing what is a reportable incident under section 4 (1) and the manner in which an incident report must be made;

(p) prescribing the circumstances in which an exemption from a requirement under this Act or the regulations may be granted under section 16;

(q) prescribing the length of time for which a licence or class of licences may be valid;

(r) prescribing the manner in which a licensee must display a licence;

(s) prescribing the reports that must be made by a health authority to the director of licensing;

(t) prescribing the collection, use or disclosure of non-personal information by the director of licensing or a health authority;

(u) prescribing the powers, duties and responsibilities of an administrator appointed under section 23;

(v) prescribing the fees that must be paid to the government or a person designated by the minister for

(i) an application for a licence,

(ii) a licence,

(iii) an application for a certificate under section 8, or

(iv) a certificate under section 8.

(3) Without limiting subsection (1), the Lieutenant Governor in Council may make regulations respecting assisted living residences as follows:

(a) prescribing how an application for registration of an assisted living residence must be made to the registrar, and the form and content of the application;

(b) prescribing the fees that must be paid to the government or a person designated by the minister for

(i) an application for a registration, or

(ii) a registration;

(c) prescribing the length of time for which a registration or class of registrations may be valid;

(d) prescribing the manner in which a registrant must display a registration or the registrar's telephone number;

(e) prescribing the health and safety standards that must be met in the delivery of services at an assisted living residence.

(4) Without limiting subsection (1), the Lieutenant Governor in Council may make regulations respecting either or both community care facilities or assisted living residences as follows:

(a) prescribing services;

(b) establishing the procedures that must be followed before a licence or registration is suspended or cancelled;

(c) prescribing the practices and procedures, including the fees for filing an appeal, respecting the board under section 29 or a panel under section 30.

(5) In making regulations under this section, the Lieutenant Governor in Council may

(a) establish one or more classes of licences or registrations,

(b) establish one or more classes of community care facilities or assisted living residences,

(c) make different provisions for one or more classes of community care facilities, licences, assisted living residences or registrations, and

(d) exempt a community care facility, a class of community care facilities, an assisted living residence or a class of assisted living residences for the purposes of section 2.

 
Consequential Amendments and Repeals

 
Cemetery and Funeral Services Act

35 Section 95 (3) of the Cemetery and Funeral Services Act, R.S.B.C. 1996, c. 45, is amended by striking out "Community Care Facility Act" and substituting "Community Care and Assisted Living Act".

 
Child Care BC Act

36 Section 1 of the Child Care BC Act, S.B.C. 2001, c. 4, is amended in the definition of "child care setting" by striking out "Community Care Facility Act" and substituting "Community Care and Assisted Living Act".

 
Child Care Subsidy Act

37 Section 1 of the Child Care Subsidy Act, R.S.B.C. 1996, c. 26, is amended in paragraph (a) of the definition of "child care setting" by striking out "Community Care Facility Act" and substituting "Community Care and Assisted Living Act".

38 Section 13 (2) (r) is amended by striking out "Community Care Facility Act;" and substituting "Community Care and Assisted Living Act;".

 
Community Care Facility Act

39 A provision of the Community Care Facility Act, R.S.B.C. 1996, c. 60, may be repealed by regulation of the Lieutenant Governor in Council.

40 The Supplement to the Community Care Facility Act is repealed.

 
Criminal Records Review Act

41 Section 1 of the Criminal Records Review Act, R.S.B.C. 1996, c. 86, is amended in the definition of "employer"

(a) by adding the following paragraph:

(h.1) the employer of staff at a community care facility, as defined in the Community Care and Assisted Living Act, that is exempted under section 34 (5) (d) of that Act, , and

(b) by repealing paragraph (i) and substituting the following:

(i) the holder of a licence issued under the Community Care and Assisted Living Act, or .

 
Health Authorities Act

42 Section 19 (3) of the Health Authorities Act, R.S.B.C. 1996, c. 180, is amended by striking out "Community Care Facility Act," and substituting "Community Care and Assisted Living Act,".

 
Health Care (Consent) and Care Facility (Admission) Act

43 Section 1 of the Health Care (Consent) and Care Facility (Admission) Act, R.S.B.C. 1996, c. 181, is amended in the definition of "care facility"

(a) in paragraph (a) by striking out "Community Care Facility Act" and substituting "Community Care and Assisted Living Act", and

(b) by repealing paragraph (b).

 
Hospital Act

44 Section 1 of the Hospital Act, R.S.B.C. 1996, c. 200, is amended in the definition of "hospital"

(a) by striking out "except in Parts 2 and 2.1," and substituting "except in Part 2.1,", and

(b) by adding "or" at the end of paragraph (a), by striking out ", or" at the end of paragraph (b) and by repealing paragraph (c).

45 Part 2 is repealed.

46 Section 48 (1) is amended by striking out "or 5".

47 Section 50 is amended

(a) in subsection (1) by striking out "Community Care Facility Act," and substituting "Community Care and Assisted Living Act,", and

(b) in subsection (2) (b) by striking out "or 5".

48 Section 56 (3) (c) is amended by striking out "or licensed hospitals".

 
Hospital Insurance Act

49 Section 1 of the Hospital Insurance Act, R.S.B.C. 1996, c. 204, is amended in the definition of "hospital" by repealing paragraph (b).

 
Human Tissue Gift Act

50 Section 15 (2) of the Human Tissue Gift Act, R.S.B.C. 1996, c. 211, is amended

(a) in paragraph (b) by striking out "or licensed hospital as defined in section 5 of that Act", and

(b) in paragraph (c) by striking out "Community Care Facility Act," and substituting "Community Care and Assisted Living Act,".

 
Liquor Control and Licensing Act

51 Section 10 (1) of the Liquor Control and Licensing Act, R.S.B.C. 1996, c. 267, is amended by striking out "Community Care Facility Act," and substituting "Community Care and Assisted Living Act,".

 
Local Government Act

52 Section 339 (1) (i) of the Local Government Act, R.S.B.C. 1996, c. 323, is amended by striking out "except a private hospital under that Act,".

53 Section 341 (2) (g) is amended by striking out "operated as a private hospital licensed under the Hospital Act or an institution" and substituting "operated as an institution" and by striking out "Community Care Facility Act;" and substituting "Community Care and Assisted Living Act;".

 
Medicare Protection Act

54 Section 18 (2) (b) of the Medicare Protection Act, R.S.B.C. 1996, c. 286, is amended by striking out "Community Care Facility Act." and substituting "Community Care and Assisted Living Act."

 
Mental Health Act

55 Section 5 (1) of the Mental Health Act, R.S.B.C. 1996, c. 288, is amended

(a) by repealing paragraph (a), and

(b) in paragraph (b) by striking out "Community Care Facility Act." and substituting "Community Care and Assisted Living Act."

 
Pharmacists, Pharmacy Operations and Drug Scheduling Act

56 Section 1 of the Pharmacists, Pharmacy Operations and Drug Scheduling Act, R.S.B.C. 1996, c. 363, is amended in paragraph (a) of the definition of "facility" by striking out "or temporary permit under section 4 of the Community Care Facility Act" and substituting "under the Community Care and Assisted Living Act".

57 Section 83 (c) is repealed and the following substituted:

(c) a facility holding a licence or a registered assisted living residence under the Community Care and Assisted Living Act.

Commencement

58 This Act comes into force by regulation of the Lieutenant Governor in Council.

 
Explanatory Note

This Bill provides for the licensing of community care facilities and the registration of assisted living residences and allows appropriate frameworks within which the health and safety of persons in care at community care facilities and residents at assisted living residences can be protected.


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