California, United States of America
The following excerpt is from California Assn. of Health Services v. Department of Health Facilities, 16 Cal.4th 284, 65 Cal.Rptr.2d 872, 940 P.2d 323 (Cal. 1997):
In order to interpret the meaning of the reasonable licensee defense, we must first understand the nature of the statutory scheme of which that defense is part. As discussed, section 1424 is one section of the Act. The declared legislative intent of the Act is to "establish (1) a citation system for imposition of prompt and effective civil sanctions against long-term health care facilities in violation of the laws and regulations of this state ... relating to patient care; (2) an inspection and reporting system to ensure that long-term health care facilities are in compliance with state statutes and regulations pertaining to patient care; and (3) a provisional licensing mechanism to ensure that full-term licenses are issued only to those long-term health care facilities that meet state standards relating to patient care." ( 1417.1.) The Act covers skilled nursing facilities as well as intermediate care facilities of various types. ( 1418.)
We summarized the licensing enforcement regime under the Act in Kizer v. County of
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