S.F. No. 4392 Summary

• Establishes comprehensive assisted living facility licensing requirements including definitions, standards for dementia care units, staffing, training, fire safety, and resident rights protections effective August 1, 2021

• Creates transition period for existing housing with services establishments to convert to assisted living licenses by August 1, 2021, with prorated licensing periods based on renewal dates between September 2020 and August 2021

• Implements tiered fine structure ($500-$5,000 per violation) for assisted living facilities based on violation level and scope, with immediate fines authorized for Level 3 and 4 violations; establishes compensation fund for maltreatment victims up to $5,000 per substantiated finding

• Requires assisted living facilities to maintain written contracts with residents detailing services, fees, termination grounds, and resident rights; establishes expedited appeals process for contract terminations within 14 calendar days

• Mandates staff training requirements, tuberculosis and communicable disease prevention protocols, emergency preparedness planning, and coordinated relocation assistance when facilities close or reduce services