Assisted Living Facilities (ALF’s)
Unlicensed Adult Family Care Homes
(AFCH’s)
Source of
Information and Facts: Undercover Investigator David Gletty and Associates.
Introduction:
This Investigative
Report concerns the Adult Family/Care Homes (AFCH’s) division of Assisted Living
Facilities (ALF’s). Specifically the unlicensed AFCH’s conducting business
without suffering consequences of breaking the law.
This is a problem that has been forming for years and there
are multiple major issues coming up from lack of addressing the issue in the
past. Because of lack of enforcement over the years on unlicensed Adult
Family/Care Homes (AFCH’s) there are many more operating now than just 6 years ago.
I will be very honest about the issue and state that most of the unlicensed
AFCH’s that my associates and I have investigated, in an undercover capacity,
were very caring, clean and the residents that received care were happy and
comfortable. The only problem was that they were unlicensed, staff did not meet
training/safety standards requirements, staff/members of household have not had
a background check and the homes are not up to local building codes/safety
requirements.
With the rising numbers of elderly persons needing private
care and more unlicensed AFCH’s operating in local neighborhoods it is only a
matter of time when a string of foreseen critical issues will hit the state of
Florida like a storm not seen before.
This is a very sensitive issue because it would be cruel and
harsh punishment for the care residents of an unlicensed AFCH to go through an
immediate closure of the facility they are living in and be relocated to an Emergency
Care Home. In Part 5 of this report you will read about a common sense solution
to this problem.
This report from an
Undercover Investigator’s perspective is comprised of 6 parts:
1. Part 1: Page 2: Terms and
Abbreviations.
2. Part 2: Page 2: Exposing the truth about how these unlicensed AFCH’s
conduct business in plain sight.
3. Part 3: Page 6: Explanation
of how this issue has been able to get out of control.
4. Part 4: Page 9: The major problems that will arise because of
enforcement.
5. Part 5: Page 9: Solutions that will not overwhelm licensed
facilities and homes.
6. Part 6: Page 13: Media interviews and what senators have stated.
Part 1: Terms and
Abbreviations:
1. Adult Family Care Home: AFCH
2. Agency for Health Care
Administration: AHCA
3. AHCA Compliance Program: ACP
4. Assisted Daily Living: ADL
5. Assisted Living Facility: ALF
6. Assisted Living Unit: ALU
7. Care Residents: Residents receiving
care in a home or facility
8. Department of Children and Families:
DCF
9. Emergency Medical Services: EMS
10. Emergency Care Home: ECH
11. Health Quality Assurance: HQA (the
enforcement division of AHCA)
12. Housing and Urban Development: HUD
13. Independent Special Investigator: ISI
Part 2: Exposing the
truth about how these unlicensed AFCH’s conduct business in plain sight.
What the law is as stated
on the AHCA and Dept. of Elder Affairs Websites:
Adult Family Care Home (AFCH) LICENSE REQUIREMENTS Top 5 Points:
1. In the State of
Florida, all adult family care homes (AFCHs) must obtain and maintain an AFCH
license from the Agency for Health Care Administration (AHCA) Assisted Living
Unit (ALU).
2. For the purposes
of licensing, an "adult family care home" means a full-time,
family-type living arrangement, in a private home, under which a person who
owns or rents the home provides room, board, and personal care, on a 24-hour
basis, for no more than five (5) disabled adults or frail elders who are not
relatives.
3. It is unlawful to
own, operate, or maintain an AFCH without obtaining/maintaining a current AFCH
license. Any person who owns, operates, or maintains an unlicensed AFCH commits
a felony of the third degree. AFCH licenses are required to be posted in a
common area.
4. Unless the adult family care home is a community residential
home subject to chapter 419, the applicant must provide documentation, signed
by the appropriate governmental official, that the home has met local zoning
requirements for the location for which the license is sought.
5. Although the maximum number of residents is limited to five
(5) disabled adults or frail elders who are not relatives of the provider, the
actual licensed capacity of each adult family care home shall be based on the
service needs of the residents and the capability of the provider to meet the
needs of the residents. Adult relatives of the provider who require personal
care and supervision and reside in the home for more than 30 days shall be
considered residents only for the purposes of determining capacity.
AFCH LICENSE EXEMPTIONS
Pursuant to Chapter 429.65, F.S., certain entities may be exempt
from AFCH licensure:
- An arrangement whereby the
person who owns or rents the home provides room, board, and personal
services for not more than two adults who do not receive optional state
supplementation under s. 409.212. The person who provides the housing,
meals, and personal care must own or rent the home and reside therein.
- An arrangement whereby the
person who owns or rents the home provides room, board, and personal
services only to his or her relatives.
- An establishment that is
licensed as an assisted living facility under Chapter 429, Part I, F.S.
Example and Violations of one unlicensed Adult Family
Care Home (AFCH) that was infiltrated by Investigator David Gletty and
Associates:
The unlicensed AFCH that we are using as an example is
located in central Florida and currently active as of 1/10/14. It is operated
by a man that has 8 family members living in the home and 4 residents receiving
care. Each care resident pays $3000 a month which means the unlicensed AFCH has
a monthly income of $12,000 for services offered as an AFCH. The operator of
the unlicensed AFCH stated that he had room for 2 more care residents and was
currently making room available for additional beds.
In the last 2 years Emergency Services has responded to the
home for a slip and fall broken arm, slip and fall broken hip, run-a-way care
resident, death in home and another death in home. All incidents have been recorded in county records
and records show that there were follow up visits from Sheriff, DCF and AHCA
officials.
By conducting follow up inspections at an unlicensed AFCH’s
and knowing that it is unlicensed is for all intents and purposes regulation of
unlicensed AFCH’s. There were complaints made against the home and AHCA
responded to the home and conducted an unannounced inspection, they issued a
response/findings letter, please see below.
A doctor that lives next door to the home in question owns
the home in question and is aware that it is operating as an unlicensed AFCH
and aware of the monthly income paid to the AFCH in question. The doctor/owner
of home in question also operates/owns 2 pain management clinics in central
Florida.
The home in question is categorized by the state of Florida
as an Adult Family/Care Home. Chapter 429 of the FL. state statutes sections
429.60 thru 429.87. The home is not exempt in any form because there are 4 adults
in 24 hour care living in the home, the home is exempt if there are only 2
persons in care living in the home. Because the home is unlicensed they are
committing many 3rd degree felony violations.
Below are some of
the violations witnessed by Investigator David Gletty and Associates concerning
the example unlicensed AFCH:
1.
The requirements of part II of chapter 408 apply to
the provision of services that require licensure pursuant to this part and part
II of chapter 408 and to entities licensed by or applying for such licensure
from the Agency for Health Care Administration pursuant to this part. A license issued by the agency
is required in order to operate an adult family-care home in this state.
2.
In accordance with s. 408.805, an applicant or licensee shall pay a fee for each
license application submitted under this part, part II of chapter 408, and
applicable rules. The
amount of the fee shall be $200 per biennium.
3.
The agency shall require level 2 background screening
for personnel as required in s. 408.809(1)(e), including the adult family-care home provider,
the designated relief person, and all adult household members, pursuant to chapter 435 and s. 408.809.
This is a major
violation…
4.
Unless the adult family-care home is a community
residential home subject to chapter 419, the applicant must provide
documentation, signed by the appropriate governmental official, that the home
has met local zoning
requirements for the location for which the license is sought.
5.
The licensed maximum capacity of each adult
family-care home is based on the service needs of the residents and the capability of the provider
to meet the needs of the residents. Any relative who lives in the adult
family-care home and who is a disabled adult or frail elder must be included in
that limitation.
Also:
1.
They do not
meet the standards,
training and rules requirements.
2. This applies to the owner of the home in question,
concerns the doctor that owns the home and lives next door with full knowledge
that the home in question is an unlicensed AFCH.
A. Sec. 429.08 pt. 2 subsection a. Any health care practitioner, as
defined in s. 456.001,
who is aware of the operation of an unlicensed facility shall report that
facility to the agency. Failure to report a facility that the practitioner
knows or has reasonable cause to suspect is unlicensed shall be reported to the
practitioner’s licensing board.
3. While at the home we also witnessed
the caretaker give Assisted Daily Living (ADL) services which included bathing,
handling of medications, changing of diapers, food preparation, picking
up/moving care residents, dressing and undressing and other ADL’s.
4. Possible patient/resident brokering.
An illegal activity as specified in Florida law.
5. Status of example home investigation
is active and we are ready to put an Undercover Elderly Investigator (UEI) into
the home.
6.
This same example could be used
for every unlicensed AFCH that has been infiltrated by Undercover Investigator
David Gletty and associates.
Complaint response letter from AHCA (Orlando,
FL Office) concerning AFCH example home:
October 25,
2013 Confidential CCR#2013010184
Mr. Sam
XXXXXXX
XXXX Wekiva
Springs Rd.
Longwood FL
32779
Dear Mr.
XXXXXXX:
Representative(s)
from the Agency for Health Care Administration (AHCA) conducted an unannounced
visit at 1200 XXXXX Lane Longwood FL. ALF on October 3, 2013. While at the
facility, our staff thoroughly reviewed your concerns, the representative(s)
observed care, interviewed resident(s), and staff, as well as completed medical
chart reviews.
Although at
the time of the inspection, the representative(s) did not find the facility was
violating any laws or rules, your complaint information is important in helping
us ensure facility compliance. This correspondence will remain as a permanent
part of our complaint system and we will continue to monitor these concerns or
issues during future visits.
Thank you
for bringing your concerns to our attention. Inspection results will be
available in 45 days at our website.
Sincerely
Lorraine
Henry signing for Theresa DeCanio, RN Field Office Manager
Note: The
above letter is opposite of the facts. If you search the AHCA website the AFCH
in question will not show up as a licensed AFCH and then everything from there
on is a violation of the law and AHCA knew the home was unlicensed before they
visited the home on the listed date above.
As of 1/10/14 the example unlicensed AFCH is not licensed
with AHCA, according to their own records.
Part 3: How this
issue has been able to get out of control.
Regulation and Law
Enforcement of Adult Family Care Homes (AFCH’s):
The Laws are in place and the websites are full of all the
information that is needed to inform the general public about the laws and
regulations in the state of Florida concerning ALF’s and AFCH’s. The major
problem is that there is not enough enforcement of the law and there is a lack
of effort to locate the unlicensed AFCH’s and have them comply with the law
and/or prosecute them. Below is information that will explain some of the non-enforcement
issues and how the problem of unlicensed AFCH’s has grown to the size that it
is now.
Agencies that have
documented contact with unlicensed AFCH’s:
A. Agency for Health Care Administration (AHCA):
1.
AHCA issues all licenses concerning ALF’s and the Health Quality
Assurance (HQA) division of AHCA is given the task of regulating and enforcing
the law and codes. This division is clearly overwhelmed by the 42,000 entities
that they regulate in the state of Florida. The problem has piled up for years
and now has come to a breaking point.
2.
When AHCA representatives respond to an AFCH they already know whether
the AFCH is licensed or not and the AHCA representative has the ability to
enforce the law at that moment concerning unlicensed AFCH’s. Most of the time
they do not enforce the law because they are simply only looking for any type
of dangerous or unsafe situation that is present that may put the care
residents at risk.
3.
AHCA is not looking for what they consider small violations like not
being licensed which could also be misunderstood as too many care residents in
the home than the law permits under the exemption statutes.
4.
Simply put, AHCA does not enforce the laws that are in place to regulate
the industry. This responsibility does not fall on any other agency other than
AHCA.
B.
EMS/Fire/Rescue: This agency shows up at the AFCH and
they are only there to give assistance in the case of a medical emergency,
fire, rescue and etc. They are not concerned about any other issues other than
the emergency at hand. Some of the emergencies are common among elderly care
facilities and include slip and falls, chest pains, burns, confusion, bodily
injury and etc. This agency visits unlicensed AFCH’s in an emergency situation,
without knowing they are unlicensed, gives treatment and makes a report of
every visit and then notifies Law Enforcement if needed. Some of the unlicensed AFCH’s
that we are looking for have their addresses in the records of EMS/Fire/Rescue.
C. Local Law Enforcement: Law Enforcement shows up at the address of some of
these unlicensed AFCH’s when a citizen request them or EMS/Fire/Rescue request
them, sometimes care patients leave the AFCH without notice and become missing,
a death (common), questionable circumstances, domestic violence and etc.
If there are any laws being broken
that law enforcement believes requires an immediate arrest then law enforcement
will arrest those that they suspect of committing violations. If law
enforcement does not arrest anyone, but believes there is some type of problem
with the AFCH then they will have Detectives conduct a follow up visit or
notify AHCA and/or DCF of the concerns law enforcement has. Some of the unlicensed AFCH’s
that we are looking for have their addresses in the records of Law Enforcement.
D.
Dept. of Children and Families: DCF will show up at the address of
the unlicensed AFCH, w/o knowing they are unlicensed, and conduct a quick well being
inspection if there was a request by law enforcement, EMT/Fire/Rescue,
complaint and etc. DCF will usually pass it on to AHCA if they feel that is
necessary and DCF will contact law enforcement if they feel that a crime that
has occurred needs an immediate arrest or response and investigation. Some of the unlicensed AFCH’s
that we are looking for have their addresses in the records of DCF.
E. Building Safety/Code Enforcement: This agency will respond to the
address of an AFCH, w/o knowing they are unlicensed, if there is a complaint,
lawn is not kept up, building has hazardous conditions, large quantity of junk
or garbage present, new construction, major repairs and etc. This agency really
has no power to regulate the building of an AFCH unless requested by another
agency or public complaint and even then they have no part of regulating
unlicensed AFCH’s.
Note: Investigator
David Gletty and Associates have seen EMS, Law Enforcement and AHCA records
that indicate they have visited unlicensed AFCH’s, sometimes w/o knowing of
license status.
Why use an unlicensed
AFCH:
A. The low monthly fee fits a family’s
budget better than a licensed more expensive AFCH.
B. Family has no insurance or government
assistance, but can afford private care.
C. The Estate of family member needing
care is involved and is taking care of the financial needs of the family member
and does not want any type of financial statement to be open to the public via
state/county records.
D. Some clients do not want any record
or trace of payment and care concerning their elderly care resident.
Even if you are
illegal, once the government regulates you then you are legal:
1. From what Investigator David Gletty and
associates have seen it is an easy conclusion that AHCA is/has been regulating
unlicensed AFCH’s.
2. Who approved AHCA to spend money
regulating known unlicensed facilities with no actions being taken against said
AFCH’s for not complying with the law?
Part 4: Major problem’s
that would start if major enforcement of the law started:
1.
If
the state did not have any solutions and plans in place before unlicensed
AFCH’s were targeted and shutdown in large numbers it would start a problem in
Florida like never seen before.
2. Homes shutdown would mean that the
state would have to take control of the care facility residents and find them a
state bed or a home that is associated with the state because the family of the
care facility resident cannot or will not take care of the care facility
resident.
3. There would be great stress and
emotional problems added to the problems that the care facility residents
already endure.
4. Could you imagine the numbers of care
facility residents that would flood the state system if unlicensed ALF’s were
suddenly shut down because they have no license or minor/major violations were
found, does not meet code enforcement standards and etc. Here is a quick number
from the AHCA website, there
are only 18 licensed AFCH’s and 88 licensed ALF’s in the Orlando, FL. area.
As you know Florida has one of the highest elderly retiree populations in the
U.S.
5. Most of the licensed ALF’s and AFCH’s
are at 95% capacity.
6. Where would the money come from in
order for the state to take on the massive numbers of new care facility
residents. Would there be a new tax, would other programs have to be cut back
and etc.
Part 5: Solutions
that will not overwhelm licensed facilities and homes.
1.
In the records of AHCA and Hospice
are the addresses of some unlicensed AFCH’s. Hospice visits unlicensed AFCH’s and gives comfort to the
ones that are terminally ill and of course Hospice cannot be expected to play
the role of “enforcer” and report these unlicensed AFCH’s to authorities, only
if there is a very unsafe situation for the care resident.
On the
other hand AHCA visits these homes when there is an incident where emergency
medical services or law enforcement is needed and then AHCA is notified by
those authorities of the incident and AHCA will then send a representative to
the home for an unannounced visit and make a report of the visit available to
the public. AHCA does visit the unlicensed AFCH’s and within their records are
the addresses of some unlicensed AFCH’s that they have visited lately via
complaint or local authorities request.
Investigator
David Gletty and Associates have also been able to locate unlicensed AFCH’s via
craigslist, licensed ALF’s, caregivers and other sources. It is not hard if you
know where to look.
Local Law Enforcement, DCF and
Emergency Medical Services respond to unlicensed AFCH’s not knowing they are unlicensed
and their addresses are in those records also.
2. An Independent Special Investigator (ISI), with senate support, should work
closely with Hospice, AHCA, Law Enforcement, EMS and DCF while going through
all the recent records of visits to private homes that give care to residents.
We will simply compare addresses of the ones on the Hospice home visit records,
AHCA home visit records, Law Enforcement and DCF records with the AHCA database
of licensed AFCH’s and we will know which are unlicensed. At that point we
would determine which unlicensed homes that we have discovered, via home visit
records, meet the criteria for an unlicensed AFCH that is operating as a
licensed AFCH. We will then compile a list of each documented unlicensed AFCH
in each area of the state.
3. Once the Independent Special Investigator (ISI) and associates have established a
preset number of recorded unlicensed AFCH’s we will then move to start
advertising and letting the public know, via public service announcement, that
any unlicensed AFCH’s have an opportunity to come forward now and enroll in a
AFCH Compliance Program (ACP) within 60 days or suffer the full consequences of
the law and immediate closure of the AFCH.
4.
At the same time #3 is taking place
the ISI’s office
will start making contact with the unlicensed AFCH’s on the list that has been
compiled. Contact will be in the form of USPS mail, telephone, email and in
person contact. Once the public service announcement has started to hit the public
then the 60 day clock will start. It is important that the unlicensed AFCH’s get the message that law
enforcement will be coming down on them hard if they do not comply with the
offer that has been granted to them by the state.
5. During the 60 day enrollment period the ISI and associates will be
gathering the addresses and contact information for as many of these unlicensed
AFCH’s as possible and making contact with the AFCH’s in violation of the law
and getting them enrolled in the AHCA Compliance Program (ACP).
6. Once the enrollment
period has expired then the state must be ready to
react with a steady and firm response while enforcing the law concerning the
unlicensed AFCH’s. This is an action that is regulated by AFCH’s Health Quality
Assurance (HQA) division, but HQA is obviously overwhelmed by the 42,000
entities that they regulate. Arrest will have to take place and relocation of care residents will
happen, but we have a plan for a smooth transition while moving care residents
from an AFCH that has been shutdown.
7. There must be clear and descriptive laws in place that allow AHCA, DCF and
Law Enforcement to act quickly and decisively while dealing with unlicensed
AFCH’s.
8. AHCA Compliance Program (ACP) is not offering unlicensed AFCH’s
amnesty. The ACP is a program paid for by the violators and should not cost the
tax payers any more money because the overseers of the program are already in
place and the violators will be paying all the cost to get their unlicensed
AFCH in compliance with the law.
How the ACP program works:
A.
A Provisional License is granted as soon as the unlicensed AFCH comes
forward and signs intent to comply agreement along with enrollment into the
ACP, payment of annual license fee and payment plan for any fines or additional
fees.
B.
A representative of the ACP will
visit each AFCH applicant and conduct a home assessment of what needs to be
completed for the AFCH to move successfully out of the ACP.
C.
Each step and requirement to complete the ACP is as follows:
1. Must complete the above requirements
in A and B.
2. Must pay monthly ACP fee, to be
determined, and any fines.
3. Each person living in the AFCH, not
including care residents, must complete a level 2 background check. If anyone
in the AFCH does not pass the background check then that person must leave home
immediately or the home will not be allowed to operate. There can be a special
circumstances meeting requested by the AFCH, this can be dealt with in an
individual case by case assessment.
4. All persons in the AFCH that give any
type of Assisted Daily Living (ADL) services to the care residents must pass
the required safety and training classes. There are many low cost
classes/training and charitable organizations that will help those caregivers
that cannot afford the full price of the required safety/training classes.
5. The building that the AFCH operates
in must be brought up to local safety/fire/zoning requirements. This is a major
issue because many of the AFCH’s are old and do not have the same design
layout, doors, lighting, home size, bathroom layout, plumbing, appliances and
etc. There are so many variations when a private home is being used as a care
facility.
It has
to be dealt with in an individual manner and I believe that each home has to
have all the major safety features in place including fire extinguishers, hand
rails/ramps where needed, proper hygiene/access to, food service, emergency
readiness, emergency exits and etc, but when it comes to the smaller building
code requirements it has to be dealt with using common sense and individual
assessment of each AFCH and what is absolutely necessary to provide a safe
living condition for the care residents.
There
are many HUD and other government programs available for those that need
assistance with building requirements and meet the financial requirements. Some
homes have too much income for assistance.
D.
Once an AFCH has completed all the requirements of the ACP then they will
be added to the list of licensed AFCH’s and be regulated and regularly reviewed
by AHCA.
E. This is the way that the system was
designed to work in the past, but it has gotten out of control and many
policies have been neglected. It will take decisive and quick action to get back on track and weed
out all the unlicensed AFCH’s that do not want to comply with the law.
Below is one of many
media interviews that have been conducted concerning unlicensed ALF’s.
TALLAHASSEE
(CBS Miami/NSF) — A Florida Senate panel Tuesday instructed the Agency for
Health Care Administration to draft legislation — fast — that would allow the
state to shut down unlicensed assisted-living facilities as quickly as possible.
“Tell them
to hustle,” said Sen. Alan Hays, a Umatilla Republican and vice-chairman of the
Senate Children, Families and Elder Affairs Committee. Hays was addressing AHCA
Secretary Liz Dudek, who briefed senators as they consider a third attempt in
three years at tightening oversight of Florida’s assisted-living facilities .But
he seemed to be speaking for all the members of the committee.“Don’t treat them
with kid gloves,” Hays urged Dudek. “Treat them with a hammer.”
Committee
members were irate over reports that unlicensed assisted-living facilities, or
ALFs, were failing to provide proper health care, background checks of staffers
or basic safety and cleanliness — and that state regulators were missing or
ignoring the transgressions.
“Last year, state
health-care regulators received more than 200 complaints about unlicensed
activity and confirmed that 62 were, indeed, unlicensed ALFs, including 15 in
Miami-Dade and Broward,” The Miami Herald reported Sept. 9. “These numbers have
risen more than 60 percent from 2010. By June this year, the Agency for Health
Care Administration had identified another 37 unlicensed homes around the
state.”
The panel’s
discussion focused on why unlicensed facilities were flying under the state’s
radar.
“You don’t
know they’re there until somebody brings it to your attention,” Dudek said. She
called SB 7000, the committee’s new ALF reform proposal, “really great” and
said it provided her agency additional help with enforcement.
Lawmakers
have been trying to pass ALF reforms since the Herald reported in 2011 that at
least 70 residents of Florida’s 3,015 assisted-living facilities had died from
abuse and neglect since 2002. The series prompted Gov. Rick Scott to form an
ALF task force that year, but the House and Senate couldn’t agree on a 2012
bill based on the task force’s recommendations. And during the 2013 session,
the Senate passed a reform measure 38-0, but it died in the House.
This year,
Sen. Eleanor Sobel, the Hollywood Democrat who chairs the Children, Families and
Elder Affairs Committee, is pushing the Senate’s latest reform effort. “There’s
a message that needs to come out of Florida,” Sobel said. “We’re going to
protect our seniors…It’s these unlicensed ones that give the good ones bad
reputations. And it hurts our image in terms of being a place baby boomers are
coming to, and we have to fix this problem.”
Working with
prosecutors and law enforcement would help, she said. Asked whether the House
would be the stumbling block again this year, Sobel said she’s almost ready to
announce the bill’s House sponsor. She added that she’d met with most of the
associations representing nursing homes and assisted living facilities, and
that they support the current proposal. “You can’t please all the groups,”
Sobel said. “We just need to get the members in the House to agree with us that
this is the best bill for Florida.”
On Tuesday,
the panel unanimously passed the measure, which would beef up fines and
sanctions on ALFs, including doubling the fines for repeated serious violations.
It would require the Office of Program Policy Analysis and Government
Accountability to conduct a study of AHCA’s consistency in regulating the
facilities. And it would specify who is responsible for assuring that mental
health residents of ALFs receive necessary services.
Additionally,
the bill would require AHCA to create a rating system for ALFs by November
2014. Peggy Rigsby, director of government services at the Florida Health Care
Association, which represents nursing home providers, said her organization
supports SB 7000 and the regulation it contains — but no more. “There are
current regulations as well, that exist now, and there are regulations in this
bill, and we support that,” Rigsby said. “We just don’t want to go and add even
more above and beyond what’s in the proposal.” Rigsby said the unlicensed
facilities were the biggest concern. She agreed with earlier suggestions by the
committee that involving law enforcement and greater regulatory authority by
AHCA would be effective in closing more unlicensed ALFs.
“The
profession is looking for certainty,” said Bob Asztalos, chief lobbyist for the
Florida Health Care Association. “Passing legislation so that everyone knows
what the rules are going to be helps us provide better care to our residents.
That’s why, this year, Florida Health Care is going to try very hard to pass
this bill, putting some certainty out there and making sure that the bad actors
can be cleaned up.”
“The News
Service of Florida contributed to this report.”
End of Investigative Report:
This
Investigative Report was written by Investigator David Gletty and is based on
the information and intelligence that was gained by Investigator David Gletty
and Associates while they conducted/are conducting an undercover investigation
targeting unlicensed Adult Family Care Homes (AFCH’s) in Florida as of 1/10/14.
Thank you
and please do not hesitate to contact Investigator David Gletty if there is anything
else your office may need concerning this matter.
Investigative/Security
Specialist
David Gletty
(407)625-7297
