Myers v. Eastwood Care Center, Inc.

645 P.2d 1218, 31 Cal. 3d 628, 183 Cal. Rptr. 386, 1982 Cal. LEXIS 188
CourtCalifornia Supreme Court
DecidedJune 14, 1982
DocketL.A. 31491
StatusPublished
Cited by6 cases

This text of 645 P.2d 1218 (Myers v. Eastwood Care Center, Inc.) is published on Counsel Stack Legal Research, covering California Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Myers v. Eastwood Care Center, Inc., 645 P.2d 1218, 31 Cal. 3d 628, 183 Cal. Rptr. 386, 1982 Cal. LEXIS 188 (Cal. 1982).

Opinion

Opinion

RICHARDSON, J.

We examine the application of the Long-Term Care, Health, Safety and Security Act of 1973 (the Act) as it existed in 1979 (Health & Saf. Code, § 1417 et seq.; all statutory references are to this code unless otherwise indicated). Our inquiry into the operation of the Act arises from the following facts.

The licensee, Eastwood Care Center, Inc., owns and operates a long-term health care unit, which is a skilled nursing facility known as Lyncrest Convalescent Hospital, in Lynwood, Los Angeles County (facility). The facility was inspected by representatives of the California Department of Health Services (department) on two occasions in late June 1979. “A” and “B” citations, based on asserted violations of the Act occurring as early as October 1978, were issued by the Director of the State Department of Health Services. Pursuant to statutory procedures, the facility contested the citations, and the penalties assessed were upheld at an ensuing informal conference. On August 15, 1979, after the conference, the facility notified the director that it intended to contest both the citations and proposed penalties. Thereafter, on July 21, 1980, the Attorney General filed an action on behalf of the director to enforce the citations and collect the penalties. The superior court then sustained the facility’s demurrer on the ground that the director’s action was barred by the ¡statute of limitations. Judgment favorable to *631 the facility was thereupon entered. This appeal followed. We will reverse the judgment, concluding that the action was timely filed.

The principal issues generally revolve around the timeliness of the director’s action to enforce the citation, and particularly we are concerned with the commencement and duration of the statutory period within which the director may proceed. We first trace the statutory citation procedures.

The Legislature expressed in the Act its intent to establish “a citation system for the imposition of prompt and effective civil sanctions against long-term health care facilities in violation of the law and regulations of this state relating to patient care 1417.1.) A “long-term health care facility” (§ 1418) is subject to the Act and to administrative regulations promulgated by the department. (Cal. Admin. Code, tit. 22, § 72701 et seq.) The department is authorized to enter any facility for inspection purposes in order to enforce the provisions of the Act and the regulations (§ 1421) and is required to perform at least two general inspections each year (§ 1422) or upon receipt of a complaint (§§ 1419, 1420).

If, upon investigation, thé director determines that there have been violations of any statute or rule or regulation, she is authorized to issue “A” or “B” citations depending upon the gravity of the violation (§ 1424; Cal. Admin. Code, tit. 22, §§ 72703-72707) and to assess a civil penalty as specified (§ 1424).

If a licensee wishes to contest a citation or penalty it is required, within four days of service of the citation, to so notify the director in writing of a request for an informal conference. (The Act was amended in 1980 to provide for a five-day period within which to give notice.) The conference, held by the director’s designee, must take place within four (now five) business days of the request and the designee may then affirm, modify, or dismiss the citation or proposed penalty. If the licensee desires to contest the designee’s decision, it must inform the director in writing within four (now five) business days after receipt of the decision. If it does not so notify the director, the citation, penalty or decision becomes a final order of the department, not subject to further administrative review. (§ 1428, subd. (a).)

Section 1428, subdivision (c), provides that “If a licensee notifies the director that he intends to contest a citation, the director shall immedi *632 ately notify the Attorney General. Upon such notification, the Attorney General shall promptly take all appropriate action to enforce the citation and recover the civil penalties prescribed thereon, and shall take such other action as he shall deem appropriate, in the superior court of the county in which the long-term health care facility is located.”

The facility argues that notice that a citation is being challenged should be given by the director to the Attorney General when the licensee first notifies the director of its intent to contest the citation and requests an informal hearing. The director responds by contending that the obligation of notice arises when the licensee advises the director of a contest after the informal hearing decision has been rendered. Section 1428, subdivision (c), is arguably ambiguous on the point but we believe that the director’s interpretation is the more reasonable one.

The departmental regulations then in effect are consistent with the director’s view. Section 72721, subdivision (e), of title 22 of the California Administrative Code (repealed Mar. 21, 1982, (reg. 82, No. 8)) provided that the director shall refer the matter to the Attorney General if the licensee notifies the director of his intent to contest the citation “after an informal conference has been held . . .. ” (See Myers v. Astoria Convalescent Hospital (1980) 105 Cal.App.3d 682, 685 [164 Cal.Rptr. 495] [dicta consistent with the regulation]; Lackner v. Perkins (1979) 91 Cal.App.3d 433, 437 [154 Cal.Rptr. 138] [same].) Deferring formal notice to the Attorney General until after the conclusion of the conference is consistent with the stated purposes of the Act to provide prompt and effective discovery of violations and enforcement of the applicable statutes and regulations through administrative action.

The departmental records demonstrate the effectiveness of the prescribed administrative review procedures. In 1980, for example, a total of 1,041 citations were issued. Of those, 124 “A” and 249 “B” citations were considered at 169 “citation review conferences.” Of the “A” citations, 66 were sustained, 13 were dismissed, and 45 were reduced. Of the “B” citations, 199 were sustained, 15 were dismissed, and 35 were reduced. A total of 85 citations finally were referred to superior court. This citation review system obviously served to satisfy most licensees. Licensees who were the subject of 288 initially contested citations chose not to continue any further challenges after the conference decision.

If section 1428, subdivision (c), is interpreted to require the director to notify the Attorney General to commence a superior court action be *633 fore the administrative review has taken its course, a substantial and unnecessarily increased burden would be cast upon the Attorney General. More significantly, the citation procedures would be prematurely removed from an informal administrative to a formal judicial arena.

We therefore hold that the department correctly interpreted the requirements of section 1428, subdivision (c), as requiring notification to the Attorney General only after the informal conference has been held and the licensee has indicated its intent to challenge the administrative decision.

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Cite This Page — Counsel Stack

Bluebook (online)
645 P.2d 1218, 31 Cal. 3d 628, 183 Cal. Rptr. 386, 1982 Cal. LEXIS 188, Counsel Stack Legal Research, https://law.counselstack.com/opinion/myers-v-eastwood-care-center-inc-cal-1982.