Section 31.16. Suspension, revocation, or limitation of an operating certificate and imposition of fines by the commissioner of mental health  


Latest version.
  • (a) The commissioner of mental health may revoke, suspend, or limit an
      operating  certificate or impose the penalties described in subparagraph
      (i), (ii) or (iii) of paragraph one of subdivision (b) or in subdivision
      (g) of this  section  upon  a  determination  that  the  holder  of  the
      certificate  has  failed  to  comply  with  the  terms  of its operating
      certificate or with the provisions of any applicable  statute,  rule  or
      regulation.  The  holder of the certificate shall be given notice and an
      opportunity to be heard prior to any such determination except  that  no
      such  notice  and opportunity to be heard shall be necessary prior to an
      emergency  suspension  or  limitation  of   the   facility's   operating
      certificate imposed pursuant to paragraph one of subdivision (b) of this
      section.
        (b) 1. A certificate may be temporarily suspended or limited without a
      hearing  for a period not in excess of sixty days upon written notice to
      the facility following a finding by the office of mental health  that  a
      patient's  health  or  safety  is in imminent danger or there exists any
      condition or practice or a continuing pattern of conditions or practices
      which poses imminent danger to the health or safety of any patient. Upon
      such finding and notice, the power of the  commissioner  temporarily  to
      suspend  or  limit an operating certificate shall include, but shall not
      be limited to, the power to:
        (i) Prohibit or limit the placement of new patients in the facility;
        (ii) Remove or cause to be removed some or all of the patients in  the
      facility; or
        (iii) Suspend or limit or cause to be suspended or limited the payment
      of  any  governmental  funds  to  the facility provided that such action
      shall not in any way jeopardize the health, safety and  welfare  of  any
      mentally ill person in such program or facility.
        2.  At  any  time  subsequent  to  the suspension or limitation of any
      operating certificate pursuant to  paragraph  one  of  this  subdivision
      where  said  suspension  or  limitation  is  the  result  of correctable
      physical plant, staffing  or  program  deficiencies,  the  facility  may
      request  the  office  to reinspect the facility to redetermine whether a
      specific condition or practice continues to exist. After the receipt  of
      such  a request, the office shall reinspect the facility within ten days
      and in the event that the previously found  condition  or  practice  has
      been eliminated, the suspension or limitation shall be withdrawn. If the
      condition  or  practice  has not been eliminated, the commissioner shall
      not  thereafter  be  required  to  reinspect  the  facility  during  the
      emergency period of suspension or limitation.
        3.  During  the sixty day suspension or limitation period provided for
      in paragraph one of this subdivision the  commissioner  shall  determine
      whether  to  reinstate  or  remove  the  limitations  on  the facility's
      operating certificate or to  revoke,  suspend  or  limit  the  operating
      certificate  pursuant  to  subdivision  (a)  of this section. Should the
      commissioner  choose  to  revoke,  suspend  or   limit   the   operating
      certificate, then the emergency suspension or limitation provided for in
      this  subdivision  shall  remain  in  effect  pending  the outcome of an
      administrative hearing on the revocation, suspension or limitation.
        4. The facility operator,  within  ten  days  of  the  date  when  the
      emergency  suspension  or  limitation  pursuant to paragraph one of this
      subdivision is first imposed or within ten days of the date  of  receipt
      of  notice  from  the  commissioner  to  revoke,  suspend  or  limit the
      facility's operating certificate, may request an evidentiary hearing  to
      contest  the validity of the emergency suspension or limitation. Such an
    
      evidentiary hearing shall commence  within  ten  days  of  the  facility
      operator's  request  and  no request for an adjournment shall be granted
      without the concurrence of  the  facility  operator,  office  of  mental
      health and the hearing officer. The evidentiary hearing shall be limited
      to  a  determination  of  whether  a  patient's  health  or safety is in
      imminent  danger  or  there  exists  any  condition  or  practice  or  a
      continuing  pattern  of  conditions  or  practices  which poses imminent
      danger to the health or safety of any patient. The emergency  suspension
      or  limitation  shall  be upheld upon a determination that the office of
      mental health had reasonable cause to believe that a patient's health or
      safety was in imminent danger. A record of such hearing  shall  be  made
      available to the facility operator upon request. Should the commissioner
      determine   to   revoke,  suspend  or  limit  the  facility's  operating
      certificate  pursuant  to  subdivision   (a)   of   this   section,   no
      administrative  hearing  on  that  action  shall  commence  prior to the
      conclusion of the evidentiary hearing,  the  rendering  of  the  hearing
      officer's  report  and the commissioner's final review and determination
      concerning the emergency  suspension  or  limitation.  The  commissioner
      shall  issue  a  ruling within ten days after the receipt of the hearing
      officer's report.
        (c) When the holder of  an  operating  certificate  shall  request  an
      opportunity  to  be  heard,  the commissioner shall fix a date, time and
      place for the hearing. A copy of the charges stating  the  substance  of
      the  alleged violations of the terms of the operating certificate or the
      alleged  violation  of  any  applicable  statute,  rule  or  regulation,
      together  with  the  notice  of the date, time and place of the hearing,
      shall be served in person or mailed by registered or certified  mail  to
      the  facility  at  least ten days before the date fixed for the hearing.
      The facility shall file with the office, not less than three days  prior
      to the hearing, a written answer to the charges.
        (d)  1.  When  a  hearing must be afforded pursuant to this section or
      other provisions of this article, the commissioner,  acting  as  hearing
      officer,  or any person designated by him as hearing officer, shall have
      power to:
        (i) administer oaths and affirmations;
        (ii) issue subpoenas, which shall be regulated by the  civil  practice
      law and rules;
        (iii) take testimony; or
        (iv) control the conduct of the hearings.
        2.  The  rules  of  evidence  observed  by courts need not be observed
      except that the rules of privilege recognized by law shall be respected.
      Irrelevant or unduly repetitious evidence may be excluded.
        3. All parties shall have the right of  counsel  and  be  afforded  an
      opportunity  to  require  the  production  of  witnesses and evidence in
      manner and form as prescribed by the civil practice law  and  rules,  to
      cross-examine  witnesses, to examine evidence produced against them, and
      to have subpoenas issued on their behalf.
        4. If evidence at the hearing relates to the identity,  condition,  or
      clinical  record  of  a  patient,  the  hearing  officer may exclude all
      persons from the room except parties to the  proceeding,  their  counsel
      and the witness. The record of such proceeding shall not be available to
      anyone  outside  the office, other than a party to the proceeding or his
      counsel, except by order of a court of record.
        5. The commissioner may establish regulations to  govern  the  hearing
      procedure and the process of determination of the proceeding.
        6.  The  commissioner  shall  issue a ruling within ten days after the
      termination of the hearing or, if a hearing officer has been designated,
      within ten days from the hearing officer's report. The ruling  shall  be
    
      based upon a preponderance of the evidence and shall contain conclusions
      concerning  the  alleged  violations  of  the  terms  of  the  operating
      certificate or the alleged violation of any applicable statute, rule  or
      regulation.
        (e)  All orders or determinations hereunder shall be subject to review
      as provided in article seventy-eight  of  the  civil  practice  law  and
      rules.
        (f)  1.  Except  as  provided  in  paragraph  two of this subdivision,
      anything contained in this section to the contrary  notwithstanding,  an
      operating  certificate  of a facility shall be revoked upon a finding by
      the office that any individual, member of a partnership  or  shareholder
      of  a  corporation to whom or to which an operating certificate has been
      issued, has been convicted of a class A, B  or  C  felony  or  a  felony
      related   in  any  way  to  any  activity  or  program  subject  to  the
      regulations, supervision, or administration of  the  office  or  of  the
      office of temporary and disability assistance, the department of health,
      or  another  office of the department of mental hygiene, or in violation
      of the public officers law in a court of competent jurisdiction  of  the
      state, or in a court in another jurisdiction for an act which would have
      been  a  class  A,  B  or  C felony in this state or a felony in any way
      related to any activity  or  program  which  would  be  subject  to  the
      regulations,  supervision,  or  administration  of  the office or of the
      office of temporary and disability assistance, the department of health,
      or another office of the department of mental hygiene,  or  for  an  act
      which would be in violation of the public officers law. The commissioner
      shall  not  revoke  or  limit the operating certificate of any facility,
      solely because of the conviction, whether in the courts of this state or
      in the courts of another jurisdiction, more than ten years prior to  the
      effective  date  of  such  revocation  or limitation, of any person of a
      felony, or what would amount to a felony if committed within the  state,
      unless  the  commissioner makes a determination that such conviction was
      related  to  an  activity  or  program  subject  to   the   regulations,
      supervision,  and  administration  of  the  office  or  of the office of
      temporary and  disability  assistance,  the  department  of  health,  or
      another  office  of the department of mental hygiene, or in violation of
      the public officers law.
        2. In the event one or more members of a partnership  or  shareholders
      of  a  corporation shall have been convicted of a felony as described in
      paragraph one of this subdivision, the commissioner shall,  in  addition
      to  his  other  powers, limit the existing operating certificate of such
      partnership or corporation so that it shall apply only to the  remaining
      partner  or  shareholders,  as the case may be, provided that every such
      convicted person immediately and completely ceases  and  withdraws  from
      participation  in  the  management  and  operation  of  the facility and
      further provided that a change of ownership  or  transfer  of  stock  is
      completed   without   delay,   and  provided  that  such  partnerhip  or
      corporation shall immediately reapply for  a  certificate  of  operation
      pursuant to this article.
        (g)  The commissioner may impose a fine upon a finding that the holder
      of the certificate has failed to comply with the terms of the  operating
      certificate  or  with  the provisions of any applicable statute, rule or
      regulation. The maximum  amount  of  such  fine  shall  not  exceed  one
      thousand dollars per day or fifteen thousand dollars per violation.
        Such penalty may be recovered by an action brought by the commissioner
      in any court of competent jurisdiction.
        Such penalty may be released or compromised by the commissioner before
      the  matter  has been referred to the attorney general. Any such penalty
      may be released or compromised and any action commenced to  recover  the
    
      same  may  be  settled  or discontinued by the attorney general with the
      consent of the commissioner.
        (h)  It  shall be the duty of the attorney general upon the request of
      the commissioner to bring an action for an injunction against any person
      who violates, disobeys or disregards  any  term  or  provision  of  this
      chapter  or  of any lawful notice, order or regulation pursuant thereto;
      provided, however, that the  commissioner  shall  furnish  the  attorney
      general  with  such  material,  evidentiary  matter  or  proof as may be
      requested by the attorney general for the prosecution of such an action.
        (i) Where a proceeding has been brought pursuant to section  31.28  of
      this  article,  and  a  receiver  is  appointed  pursuant  thereto,  the
      commissioner may assume  operation  of  the  facility  subject  to  such
      receivership, upon termination of such receivership, and upon showing to
      the  court  having jurisdiction over such receivership that no voluntary
      association, not-for-profit corporation or other appropriate provider is
      willing to assume operation of the facility subject to receivership  and
      is  capable  of  meeting the requirements of this article; provided that
      the commissioner notifies the chairman of the assembly  ways  and  means
      committee, the chariman of the senate finance committee and the director
      of  the  budget of his intention to assume operation of such facility at
      least six months prior to such assumption.