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SB-1109 • 2026

Short-term residential therapeutic programs.

Short-term residential therapeutic programs.

Children Crime Education Healthcare
Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Alvarado-Gil
Last action
2026-04-13
Official status
From committee with author's amendments. Read second time and amended. Re-referred to Com. on HUMAN S.
Effective date
Not listed

Plain English Breakdown

The official source does not provide specific details on enforcement mechanisms or consequences of non-compliance.

Rules for Short-Term Therapeutic Programs

This law changes how short-term residential therapeutic programs are licensed and reviewed by requiring them to get approval from local government boards.

What This Bill Does

  • Requires short-term residential therapeutic program applicants to submit a letter of recommendation from the county board of supervisors when applying for or renewing their license.
  • Makes it necessary for these programs to send updates about their operations to the county board of supervisors for review.
  • Prohibits licensing new short-term residential therapeutic programs in counties with fewer than 75,000 residents that lack a high school and general acute care hospital.
  • Requires annual renewals of licenses starting January 1, 2027, if there are five or more violations within the last year or if the program is located in an underserved county.

Who It Names or Affects

  • Short-term residential therapeutic programs and their operators
  • County boards of supervisors

Terms To Know

short-term residential therapeutic program
A place that provides special care for children who have experienced trauma, offering intensive treatment and supervision.
county board of supervisors
The group in charge of making decisions about county services and policies.

Limits and Unknowns

  • Does not specify what happens if a program moves to a new location.
  • Details on how the state will enforce these rules are unclear.
  • It is uncertain how this law will affect existing programs that do not meet the new requirements.

Bill History

  1. 2026-04-13 California Legislative Information

    From committee with author's amendments. Read second time and amended. Re-referred to Com. on HUMAN S.

  2. 2026-04-09 California Legislative Information

    Set for hearing April 20.

  3. 2026-04-08 California Legislative Information

    Re-referred to Com. on HUMAN S.

  4. 2026-03-25 California Legislative Information

    From committee with author's amendments. Read second time and amended. Re-referred to Com. on RLS.

  5. 2026-02-26 California Legislative Information

    Referred to Com. on RLS.

  6. 2026-02-18 California Legislative Information

    From printer. May be acted upon on or after March 20.

  7. 2026-02-17 California Legislative Information

    Introduced. Read first time. To Com. on RLS. for assignment. To print.

Official Summary Text

SB 1109, as amended, Alvarado-Gil.
Short-term residential therapeutic programs.
Existing law, the California Community Care Facilities Act, provides for the licensing and regulation of community care facilities, including short-term residential therapeutic programs, by the State Department of Social Services, and defines a short-term residential therapeutic program as a residential facility licensed by the department and operated by any public agency or private organization that provides an integrated program of specialized and intensive care and supervision, services and supports, treatment, and short-term, 24-hour care and supervision to children that is trauma-informed.
A violation of the act is a crime.
Under the act, the department is authorized to issue citations for violations of these provisions.
Existing law requires a short-term residential therapeutic program to prepare and maintain a current, written plan of operation that includes a program statement containing, among other things, a description of how the
short-term residential therapeutic program will meet specified standards established by the department in collaboration with the State Department of Health Care Services. Existing law requires the program to submit a copy of its program statement to all county placing agencies from which the short-term residential therapeutic program accepts placements, including the county in which the facility is located, for optional review when the short-term residential therapeutic program updates its program statement. Existing law requires a short-term residential therapeutic program applicant to include a letter of recommendation in support of its program from a county placing agency in its licensing application.
This bill would additionally require a short-term residential therapeutic program applicant to submit a copy of its program statement to the board of supervisors in the county in which the program operates for optional review when the program updates its program
statement. The bill would also require a short-term residential therapeutic program applicant to include a letter of recommendation in support of its program from the board of supervisors in the county in which the program will operate in its licensing application, except as specified. The bill would require the department to cease review of the application if it does not include the letter of recommendation from the board of supervisors or if it receives a letter indicating that the board of supervisors does not support the operation of the program in the county. The bill would require that, if a program intends to move locations to a new county, the licensee must submit an application to renew the license.
The bill would, notwithstanding any law and commencing January 1, 2027, require licenses for short-term residential therapeutic programs to be renewed annually. The bill would require an application for renewal to include, among other things, a form indicating whether or not the board of supervisors of the county in which the program operates supports the operation of the program in the county. The bill would require the department to cease further action on the renewal application if a board of supervisors submits a form indicating that it does not support the licensee’s operation in the county.
The bill would, notwithstanding any law and commencing January 1, 2027, prohibit the department from issuing or renewing licenses for the operation of short-term residential therapeutic programs in counties with less than 75,000 residents and that do not have a high school or a general acute care hospital operating in the county.
By expanding requirements for short-term residential therapeutic programs under the act, this bill
would impose a state-mandated local program.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
This bill would, notwithstanding any law and commencing January 1, 2027, require licenses for short-term residential therapeutic programs to be renewed annually if the licensee has a total of 5 or more specified citations in the past 12 months, or if a short-term residential therapeutic program operates in a county with less than 75,000 residents and that does not have a high school or a general acute care hospital operating in the county.

Current Bill Text

Read the full stored bill text
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