Sober-living Homes 1. Terms and Taxonomy of Uses 2. Legal Landscape 3. Best Practices 1. Terms and Taxonomy of Uses “group home” ??? Group home = • subcategory of “community care facility” • 24-hour care and supervision of children 1. Terms and Taxonomy of Uses Services 1. Medical 2. Nonmedical 3. No services 1. Terms and Taxonomy of Uses Services Medical = “health facility” DPH examples • hospitals • “congregate living health facility” • skilled-nursing • developmentally-disabled 1. Terms and Taxonomy of Uses Services Nonmedical = “community care facility” If not alcohol- or drug-related or “alcoholism or drug abuse recovery or treatment facility” If alcohol- or drug-related 1. Terms and Taxonomy of Uses Services DSS Nonmedical = “community care facility” examples • mental health • physical or developmental disabilities • foster, adoption, minors 1. Terms and Taxonomy of Uses Services DHCS Nonmedical alcohol- or drug-related = “alcoholism or drug abuse recovery or treatment facility” aka “residential AOD facility” or “residential treatment facility” 1. Terms and Taxonomy of Uses AOD “Nonmedical services” Statute broadly defines as: 1. “recovery services” 2. “treatment services” 3. “detoxification services” 1. Terms and Taxonomy of Uses AOD “Nonmedical services” Indicators of services: • • • • • • • Admission Intake Assessments Planning Referrals Documentation Discharge, continued-care planning Outcomes 1. Terms and Taxonomy of Uses AOD “Nonmedical services” “detoxification service” = • “a service designed • to support and to assist an individual • in the alcohol and/or drug withdrawal process and • to explore plans for continued service” 1. Terms and Taxonomy of Uses AOD “Nonmedical services” “recovery” or “treatment” = not defined But “alcoholism or drug abuse recovery or treatment service” = “designed to promote treatment and maintain recovery …” Includes (not limited to) one or more of the following: • • • • • detoxification group sessions individual sessions educational sessions planning 1. Terms and Taxonomy of Uses AOD “Nonmedical services” But DHCS also specifically regulates • Health-related services CPR, first-aid, control of medications • Food service Meal planning and preparation • “Activities” 1. Terms and Taxonomy of Uses AOD “Nonmedical services” In a word … 1. Terms and Taxonomy of Uses No Services IF no nonmedical detox, treatment, or recovery services THEN • “sober-living home” • aka “recovery house” • “where the facility provides no care or supervision” 1. Terms and Taxonomy of Uses 2. Legal Landscape 2. Legal Landscape Local subject to State Federal 2. Legal Landscape Legal Facts: In recovery = disabled 2. Legal Landscape Legal Facts: disabled = protected class like race and religion 2. Legal Landscape Legal Facts: So … Government may not discriminate against* *as in, adversely (in favor? stay tuned) 2. Legal Landscape Real implications for local regulation • Will not act to discriminate • Clean record 2. Legal Landscape Protections • State license • ≤ 6 : no • business • special zoning • ≈ single family 2. Legal Landscape Protections • State license • 7+ : yes • business • special zoning 2. Legal Landscape Protections • State constitution • privacy • Not “who” • Just use 2. Legal Landscape Protections The use = “single housekeeping unit” Common • Lease • Chores • Expenses • Access • Choice (roommates) 2. Legal Landscape Protections Federal (and State) Disabilities, Fair-housing • “facial discrimination” • discriminatory intent • disparate impact • reasonable accommodation 2. Legal Landscape Protections • “facial discrimination” • discriminatory intent • (clean record) • disparate impact • broader application, equal enforcement • reasonable accommodation 2. Legal Landscape Protections reasonable accommodation Accommodation is • “… necessary to afford • such person • equal opportunity to • use and enjoy a dwelling.” 2. Legal Landscape Protections reasonable accommodation Accommodation is • unreasonable if • fundamental alteration • undue financial, admin burden 2. Legal Landscape Protections What does a reasonable accommodation look like? small state license? single housekeeping unit? no zoning at all, ever? Best Practices • Public meetings • Local Regulation – Comments – Nuisance (document!) • Not discriminatory – Criminal activity • Rehabilitate (document!) – Reasons – Zoning (single family) • Neutral terms – License requirements • Legitimate and conditions governmental – Consistent, equal concerns enforcement • Supporting evidence – Normal practices Best Practices • Complaint protocol and investigation – If not licensed, verify that operating as a true soberliving home (i.e., not providing any care or supervision that requires a license) – Confirm compliance with applicable laws – Standardized response letter – Try to work with operator – Vigorously enforce municipal codes – Impose necessary and appropriate conditions and • For violations limitations on facilities – Require corrections serving 7 or more – Admin citations – If state-licensed, review – Obtain injunction materials and request investigation when – prosecute appropriate Final Thoughts • Explore and pursue • Update municipal legislative solutions code provisions (e.g., eliminate overlapping use definitions and • Consider whether negative impacts are gaps) common to broader class of uses, • Rise above the fray, regulate the broader and remain neutral class and enforce and professional. equally Thank You A. Patrick Muñoz (714) 662-4628 Todd R. Leishman (949) 263-6576
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