Sunday, February 28, 2016

2nd Issue: State of California Licensing Requirement (Part 1)

2nd Issue:  State of California Licensing Requirement (Part 1)

Some wrongs witnessed by whistleblowers are clear, like a theft from the company or from customers or vendors.  Others are ambiguous because they involve an interpretation of technical rules that may be debated.  Clear-cut wrongs may be resolvable directly with the injured party, but technical rules often demand arbitration by an external authority empowered to position the line between right and wrong and decide how resolution will be accomplished.

The State of California requires that a residential facility should be licensed by the State if it performs any of several “care and supervision” activities, including assistance with personal hygiene, medications, health care, supervision of schedules, and maintenance of house rules[1].  The regulations seek to protect adults who require or want assistance with care and supervision due to disabilities or age.  The California Community Care Licensing Division (CCL) oversees the management of licensed residential facilities in the state, but it does not provide an unambiguous definition of care and supervision, leaving determination in the hands of its staff in local offices and Sacramento.

During a meeting of the Executive Leadership Team – the CEO, CFO, Chief Program Officer, and Chief Development Officer – in late August 2013, I raised the question whether HomeFirst’s Boccardo Reception Center (BRC) facility required licensing as an adult residential facility.  By some measures, BRC appeared to be covered by the regulation.  More than half of the clients were classified as disabled, nearly a quarter were over 60 years old, and many used prescription medications.  Some clients, especially those who were recently discharged from hospitals, received medical care at the site, and all clients were subject to house and program rules.

The Program Officer and I had discussed the issue briefly with an attorney five years earlier without coming to a decision.  Jenny, the CEO, offered a number of counter-arguments: we could not afford to convert BRC to a licensed facility; we did not have staff to work on a licensure application for the site; no other shelters were licensed; if CCL forced licensure on BRC and other shelters, thousands of homeless would be forced on to the streets again; and the financial impact on HomeFirst could be catastrophic.  She argued that BRC had operated in the same way for years and, if we had avoided the question in the past, there was no reason to address it now.  She did not think that any other shelter in the area was licensed.  In addition, if the CCL decided we were operating in violation of the law, they might decide against us in a separate license application for a different location.

It seemed that she protested too much.  Her arguments eluded debate about the protection of clients and the possible illegality of the operation.  While not entirely certain, it seemed to me likely that BRC provided “care and supervision,” and the Program Officer generally agreed.  I recommended that we consult CCL or an attorney to get a definitive reading of the case.

The ambiguity of this case was compounded in two ways.  First, HomeFirst’s activities at BRC had changed over time so that although licensing seemed not to be required earlier it might be necessary now.  Jenny contended that the problem was with CCL, which had not changed its regulations to avoid trapping new homeless services, like those provided by HomeFirst at BRC, in the licensed category.  Second, separating in Jenny arguments those that were legitimate justifications from those that were rationalizations for wrongdoing was difficult.  Even when honestly motivated, we are often deceived by unconscious biases, limits on the information available to us, and emotions and situational factors that can sway our decision-making[2].  Despite the ambiguity, Jenny, I, and the others involved still faced the need to act in some fashion. 

Jenny laid out a plan for dealing with the licensing question.  I would canvass the 20+ homeless shelter providers in the region to learn whether anyone else had considered their need to be licensed on their own or when prodded by funders or auditors.  I would then describe the process for becoming licensed and the risks and opportunities involved in being licensed in the short and long term.  The task was made more difficult by the fact that the Program Officer, not I, had the contacts at other shelter providers and the personal experience with making a license application.  I was also in the midst of the annual audit.  It was a time-consuming project that Jenny felt necessary, even if it meant waiting months before we took action.

After email parries over the next few days, I suggested that I might need to disclose the situation to our auditors.  After the Executive Committee of the Board decided that it was all right for me to discuss it with them, the auditors were indifferent to the issue I described.  Preliminary research indicated that other providers did not care about the problem, either.  Evidence seemed to confirm Jenny’s contention that nothing was very wrong here and no great ethical violation was in progress. 

Despite this seeming validation of inaction, I thought that the core issue – were we required to be licensed at the site? – remained unaddressed.





[2] Bazerman, Max H. and Ann E. Tenbrunsel. Blind Spots: Why We Fail to Do What’s Rightand What to Do about It. Princeton, N.J.: Princeton University Press. 2011

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