Ask the Scholar

Document scope · 1 page
doc
Scholar
Ask about this object, its catalog metadata, its source description, or the page inventory. For page-specific OCR and visual context, open one of the page chats.

Scholar Source Context

Document identity
localId
118565074
label
[Professional and Vocational Standards]
core
doc
dtoType
document
pageCount
1
Source metadata
Source extras
naId
118565074
coverageEndDate
logicalDate
1975-12-31
year
1975
coverageStartDate
logicalDate
1967-01-01
year
1967
levelOfDescription
fileUnit
recordType
description
ocrSource
nara-archive
Single page context
seq
1
pageIndex
0
type
document
mediaId
26c333b0c79538e9
ocrText
Ronald Reagan Presidential Library Digital Library Collections This is a PDF of a folder from our textual collections. Collection: Reagan, Ronald: Gubernatorial Papers, 1966-74: Press Unit Folder Title: [Professional and Vocational Standards] Box: P38 To see more digitized collections visit: https://reaganlibrary.gov/archives/digital-library To see all Ronald Reagan Presidential Library inventories visit: https://reaganlibrary.gov/document-collection Contact a reference archivist at: [email protected] Citation Guidelines: https://reaganlibrary.gov/citing National Archives Catalogue: https://catalog.archives.gov/ COMMISSION ON CALIFORNIA STATE GOVERNMENT ORGANIZATION AND ECONOMY Chairman PRESS CASPAR W. WEINBERGER San Francisco HOWARD A. BUSBY San Diego JACK R. FENTON Assemblyman, Montebello D. W. HOLMES Madera JAMES E. KENNEY Pasadena LOUIS J. KROEGER Piedmont PATRICK D. McGEE Assemblyman, Van Nuys GEORGE MILLER, JR. Senator, Martinez MANNING J. POST Beverly Hills DAIR TANDY Oroville HOWARD WAY Senator, Exeter L.H. HALCOMB, JR. Executive Officer AN EXAMINATION OF THE DEPT. OF PROFESSIONAL & VOCATIONAL STANDARDS STATE OF CALIFORNIA An Examination of the Department of Professional and Vocational Standards State of California A Report of Findings and Recommendations September, 1967 Commission on California State Government Organization and Economy STATE OF CALIFORNIA RONALD REAGAN, Governor COMMISSION ON CALIFORNIA STATE GOVERNMENT ORGANIZATION AND ECONOMY 11th & L Building, Suite 550 Sacramento 95814 Chairman CASPAR W. WEINBERGER San Francisco HOWARD A. BUSBY September 15, 1967 San Diego JACK R. FENTON To: Assemblyman, Montebello D. W. HOLMES Madera The Honorable Ronald Reagan JAMES E. KENNEY Governor of the State of California Pasadena The Honorable Members of the Senate LOUIS J. KROEGER Piedmont The Honorable Members of the Assembly PATRICK D. McGEE Assemblyman, Van Nuys Gentlemen: GEORGE MILLER, JR. Senator, Martinez The Commission on California State Government Organization and Economy MANNING J. POST herewith submits the Report of its Study of the Department of Professional and Beverly Hills Vocational Standards. DAIR TANDY Oroville This study, which has occupied the attention of the Commission for more than a year and one-half, has resulted in numerous recommendations which are in- HOWARD WAY Senator, Exeter cluded in the Report in summary form. L. H. HALCOMB, JR. The most important of these recommendations we believe is the statement that Executive Officer "Protection of the public is the only justification for business or professional licensing and regulatory boards," and that based on that criterion, none of the new groups seeking to be licensed in the Legislature this year meets that test, and several existing licensing boards should be abolished. We hope that legislation carrying out the Commission's recommendations may be introduced at the next legislative session, and we will of course be glad to support that legislation with testimony growing out of the material contained in our report. Respectfully submitted, COMMISSION ON CALIFORNIA STATE GOVERNMENT ORGANIZATION AND ECONOMY Saspar CASPAR W. WEINBERGER, Chairman HOWARD A. BUSBY JACK R. FENTON D. W. HOLMES JAMES E. KENNEY LOUIS J. KROEGER PATRICK D. McGEE GEORGE MILLER, JR. MANNING J. POST DAIR TANDY HOWARD Way L. H. HALCOMB, JR. (3) 2-75323 00007- third expires & a gove as Tax report AND à Shin AN EXAMINATION OF THE DEPARTMENT OF PROFESSIONAL AND VOCATIONAL STANDARDS TABLE OF CONTENTS PART I Page Page I. Introduction 7 Cemetery Board 24 The Public Interest 7 State Board of Chiropractic Examiners 24 II. Present Practice 9 Board of Registration for Civil and Profes- The Licensing Body 9 sional Engineers 24 Staff Organization and Services 10 Collection Agency Licensing Bureau 24 License Application and Pre-Qualification Contractors' State Licensing Board 25 Process 11 Board of Cosmetology 25 Examinations 12 Board of Dental Examiners 25 Enforcement Activities 12 State Board of Dry Cleaners 25 III. Findings and Recommendations-General 14 Bureau of Electronic Repair Dealer Regis- tration 25 Groups Requiring State Licensing 14 Board of Funeral Directors and Embalmers 25 Recommendations 14 Bureau of Furniture and Bedding Inspec- Mandatory Licensing 15 tion 25 Recommendations 15 Board of Landscape Architects 25 Multiple License Categories in a Single Oc- Marriage, Family, and Child Counselor Li- cupational Area 15 Recommendations censing 25 15 Board of Medical Examiners 26 The Examinations Process 15 Recommended General Criteria Board of Nursing Education and Nurse 15 Registration 26 The Enforcement Process 16 State Board of Optometry 26 Receipt and Processing of Complaints 16 Board of Pharmacy 26 Inspectional and Investigative Services 17 Certified Shorthand Reporters Board 26 Legal Services 17 Board of Social Work Examiners 26 Informal Hearings 18 Structural Pest Control Board 26 Organizational and Administrative Ar- Board of Examiners in Veterinary Medicine 26 rangements 18 Board of Vocational Nurse Examiners 26 Board Composition 18 Yacht and Ship Brokers Commission 26 Professional Licensing Board Authority and Functions 20 Tables Department-Board Relationships 21 I. Licensing Agency Composition and Role 9 Financing of Licensing Programs 21 II. Activity of License Board Members 10 IV. Recommendations Affecting Individual Li- IIa. Licensee and License Categories 10 censing Boards 24 III. Licensing Agency Staff 11 State Board of Accountancy 24 IV. License Requirements 11 State Board of Architectural Examiners 24 V. Enforcement Activity 12 State Athletic Commission 24 VI. Licensing Program Costs 22 Board of Barber Examiners 24 VII. Special Fund Balances 23 PART II-PRESENT ACTIVITIES OF LICENSING BOARDS State Board of Accountancy 27 Bureau of Furniture and Bedding Inspection 40 State Board of Architectural Examiners 27 Board of Landscape Architects 40 State Athletic Commission 28 Marriage, Family, and Child Counselor Licensing 41 Board of Barber Examiners 29 Board of Medical Examiners 41 Cemetery Board 30 Board of Nursing Education and Nurse Registra- State Board of Chiropractic Examiners 31 tion 44 Board of Registration for Civil and Professional State Board of Optometry 45 Engineers 32 Board of Pharmacy 45 Collection Agency Licensing Bureau 33 Bureau of Private Investigators and Adjusters 46 Contractors State License Board 34 Certified Shorthand Reporters Board 47 Board of Cosmetology 35 Board of Social Work Examiners 48 Board of Dental Examiners 36 Structural Pest Control Board 48 State Board of Dry Cleaners 37 Board of Examiners in Veterinary Medicine 49 Bureau of Electronic Repair Dealer Registration 38 Board of Vocational Nurse Examiners 49 Board of Funeral Directors and Embalmers 39 Yacht and Ship Brokers Commission 50 (5) is No X $ If with - del PART I I. INTRODUCTION This is the second Commission study of the use of 2. The number of members should not normally ex- plural bodies in California State government. The ceed seven, with a lesser number on adjudicative first dealt with the boards and commissions in the bodies. Resources Agency,¹ and the present study considers 3. Terms of office should be definitely fixed, prefer- those in the Department of Professional and Voca- ably at four years with a two-term maximum tional Standards. The report on the earlier study pre- and with provision for overlap. sented a set of criteria or guidelines for use in evalu- ating the need for and role of such bodies in state 4. Members should not receive compensation (other government. The statement was there made that, than for full-time service) but should receive "These [criteria] will receive further testing in fu- ample expense allowances. ture projects of the Commission dealing with the same 5. Members should be selected first on their ability subject elsewhere in the state government." to represent the general public interest and only Certain general concepts were enunciated in the secondarily on their special knowledge of the first report favorable to the use of citizen boards, in- subject area. cluding: broader public participation in government, 6. Beneficiary or special interests may be repre- the open manner in which affairs are conducted, sented, but only when the need for their special achieving a consensus of views, providing a buffer knowledge or support is clearly demonstrated against undue pressures, and offering a needed pro- and then only as a minority of the membership. tection against arbitrary action. The case made for the exercise of caution in the use of boards included Organizational Status such factors as diffusion of responsibility, slowness to 1. Bodies should be linked to the agency at the act, division of authority, undue special interest rep- level at which policy decisions are made-nor- resentation, expense, and isolation from normal proc- mally the Office of the Director-and advisory esses of government. As will be pointed out later, to the agency (not a particular official) in the several of these conclusions have particular pertinence specified subject area. to a board engaged in the licensing of a profession 2. Department directors should maintain direct or vocation. Of particular concern are the problems liaison with all bodies in their department, desig- of special interest representation and isolation from nating the appropriate division chief or others the normal control processes. to coordinate department-board activities. The general guidelines set forth in the first study 3. Bodies should not employ or supervise admin- report were: istrative or technical staff but should be pro- vided all requested staff assistance by the de- Functions Best Performed by Boards partment to which attached. 1. Participation in policy formulation Subsequent sections of this report will measure the 2. Participation in rule-making boards of the Department of Professional and Voca- 3. Acting as an Administrative Tribunal to hear tional Standards, as a group and individually, against appeals from administrative orders or actions these criteria. Beyond this, specific recommendations 4. Allocation of funds in the form of loans or treating with the unique features of a licensing board grants to local jurisdictions or the division of are offered as are proposals for improvements in par- appropriations among state agency projects, ticular licensing programs. subject to staff recommendation and, where re- quired, legislative approval THE PUBLIC INTEREST 5. Such single or special purposes as conduct of ne- In considering what is the appropriate role of a gotiation, new or pilot project guidance, or board in the administration of a licensing program, study and report on a particular subject the central issue is that of representing and protect- ing the general pubic interest. The justification for Manner of Creation and Membership Requirements the State's controlling entry into a particular profes- 1. Appointments to statutory boards or commis- sion or vocation and regulating the activities of prac- sions in the executive branch should be made by titioners is simply, and exclusively, protection of the the Governor. public. Since licensure is a restriction on the free- dom of individuals, the need for government inter- 1 The Use of Boards and Commissions in the Resources Agency, April, 1965. vention must be clearly demonstrated. There is no (7) 8 AN EXAMINATION OF THE need to belabor the point that a licensing program as: no two states license all of the same professions can be used to the special advantage of the licensed and vocations; only a few professions, such as phy- group-by restricting entry even of reasonably quali- sicians and attorneys, are licensed by all of the states; fied persons and thus reducing competition or by and some states, including California, license many protecting licensees who are incompetent, negligent, more groups than do others. For a number of years or acting contrary to the public good. Further, licens- the trend has been upward, but more often than not ing programs have been used in some instances to the pressure has come from the groups themselves advance the professional status of occupational rather than from the public or from government. groups, with no benefit to the public or even counter There appears to be no question but that the licensed to the public interest. Examples of these distortions groups benefit; the benefit to the public, on the other of the licensing function are easily found. It hand, is not always as clear. In situations where a is equally clear that many licensing programs give case can be made that licensing might have some de- the public a protection not otherwise attainable. What sirable features from the standpoint of the public, is good for a particular group may or may not be these must be weighed against the broad question of good for the public generally. There need not be a increased government intervention into areas tradi- conflict between the licensed group interest and the tionally viewed to be of private concern. general public interest; both can be served to the The second point at which the public interest ques- benefit of all.² tion must be considered is in deciding how this inter- The question of how best to assure that the public est is to be represented once licensing has been de- interest is properly served arises at two primary cided upon. In a later section of this report, treating points in the licensing process. First, when the deci- with licensing agency organization and composition sion is made-by the legislature-as to whether or and the proper authority of licensing boards, pro- not a particular profession or vocation need be li- posals are made in this regard. The basic conclusion censed by the State. This decision must rest on sub- reached-and it would seem an obvious one-is that stantial evidence that the public needs this protec- relatively complete control of all phases of a licensing tion. That a problem exists is borne out by such facts process by the group being licensed does not provide Later in this report certain distinctions are made between the the necessary assurance that the public interest is licensing of professions or vocations and the licensing of business activities. See pages 14, 19, and 20. adequately represented. DEPARTMENT OF PROFESSIONAL AND VOCATIONAL STANDARDS 9 II. PRESENT PRACTICE The Department of Professional & Vocational lected from licensees or applicants deposited in spe- Standards has functioned less as an executive branch cial funds under board control and used to defray the department, in the normal sense, than as a group of cost of the licensing activity, that encourages board independent licensing agencies held together by a set independence. The Department is in large part de- of staff services. The Director is given significant pendent upon assessments against these special funds powers and authority in the general licensing code for its operation. The existence of a generally close- provisions. The reluctance of Directors in the past to knit clientele group served by each board also assures use these powers to better represent the public in- a strong voice at the legislative level. terest and bring about greater coordination and in- As revealed by TABLE I, there are within the De- creased effectiveness in the operations of the several partment twenty-eight licensing agencies.¹ Collectively boards has resulted in many of the boards function- they license nearly 700,000 individuals or establish- ing with a greater independence than the Legislature ments in some 230 license categories.² intended. This in turn seems to have led to a belief that the Director is without power, which clearly is THE LICENSING BODY not the case. At present the licensing body, which has relatively With few exceptions the licensing agencies are complete authority over all aspects of the licensing, boards comprised of members of the profession or vo- is most commonly a board comprised of five to nine cation licensed-except for one "public" member- members, all but one of whom are by law licensees possessing administrative and regulatory power and of the board-that is, a member of the profession or control of their own staffs and enjoying special fund industry being regulated. Members are appointed by status. It is this financial autonomy, with fees col- the Governor for four-year staggered terms and are compensated at the per diem rate of $25 plus expenses. Code provisions frequently require that boards meet TABLE I at least several times a year, but in practice most LICENSING AGENCY COMPOSITION AND ROLE meet at least monthly or, if less frequently than that, in sessions of two or more days duration. A board's Board Membership Nature of Function staff is headed by an executive secretary appointed by and serving at the pleasure of the board. Adminis- Licensing Body Licensees "Publie" trative Advisory Individual boards differ widely in the extent to which members personally participate in the several Accountancy 7 1 phases of the licensing process, ranging from almost Architecture 8 1 complete involvement in all phases to confining them- Athletic Commission - 5 selves strictly to policy matters and deciding appeals. Barber 4 1 This is reflected in the number of per diem days Cemetery Board 5 1 charged, which range among boards from a low of 6 Chiropractic 5 - to more than 100 per year (TABLE II). Common Civil & Prof. Engineers 8 1 board functions include: Collection Agency 5 1 Contractors 8 1 1. Establishing rules and regulations governing the Cosmetology 6 I licensing program-not inconsistent with code Gental Examiners 7 1 x Dry Cleaners 6 1 provisions. Electronic Repair Dlrs 2 3 2. Setting educational and other pre-requirements Funeral Directors 5 1 to license applicants. Furniture & Bedding 6 1 3. Approving or accrediting institutions which pro- Landscape Architect 5 1 vide training in the field. Marriage Counselor 4 1 Medical Examiners 11 1 4. Preparing or approving examinations and par- Nursing Education 5 1 ticipating in their administration. Optometry 5 1 Osteopathic 5 5. Determining who is to be granted a license, based - on examination and other requirements. Pharmacy 7 1 Private Investigators - - 6. Generally directing inspectional and enforce- Shorthand Reporters 3 2b ment activities carried out by Division of Inves- Social Work Examiners 4 2 tigation or by board staff. Structural Pest Control 5 1 Veterinary Medicine 5 1 1 Excluded are the Board of Osteopathic Examiners which no longer issues licenses and the Board of Guide Dogs for the Vocational Nurse 7 4 Blind with 16 licensees. There exist also several "examining Yacht and Ship Brokers 4 1 committees" under the primary boards which enjoy varying degrees of autonomy. As a result, the number of licensing agencies is sometimes shown to number as many as 34. At present time, there is no licensing board, only a bureau. 2 Approximately 90 of these categories are construction and b Members of State Bar. building contractors in various specialties. See TABLE Includes 1 MD, 1 RN, 1 Hospital Administrator, and 1 School Administrator. IIa, page 10. 10 AN EXAMINATION OF THE TABLE II TABLE lla ACTIVITY OF LICENSE BOARD MEMBERS LICENSEES AND LICENSE CATEGORIES (June, 1966) Per Diem Expenditures, 1965-66 Budgeted Number of License Categories Number of Number Per Number of Board of Days Licensing Body Licensees Individual Establishment Board Licensees Total Member per Year Accountancy 26,634 2 1 Architecture 6,188 2 Accountancy 26,634 $3,575 $447 18 Athletic Commission 1,117 17 1 Architecture 4,895 8,000 889 36 Athletic Commission 1,117 1,825 365 15 Barber 42,768 3 2 Cemetery 1,651 2 2 Barber 42,768 4,050 810 81 10 Chiropractic 4,618 1 Cemetery 1,651 1,500 250 Chiropractic 4,618 2,550 1,510 60 Civil & Prof. Engineers 49,348 11 Collection Agency -576 2 1 Engineers 49,348 10,700 1,189 48 Contractors' 92,711 91 Collection Agency 576 1,800 300 11 Contractors 92,711 2,950 328 13 Cosmetologist 133,062 7 3 Dental Examiners 14,780 2 Cosmetology 133,062 6,300 900 36 Dry Cleaners 19,991 21 9 Dental Examiners 14,780 28,800 3,600 b144 Dry Cleaners 19,991 13,000 1,857 75 Electronic Repair Dlrs 6,736 1 Funeral Directors 4,474 3 Electronic Repair Dlr. 6,736 1,500 300 12 4,474 654 26 Furniture and Bedding 23,913 10 Funeral Directors 3,925 Furniture & Bedding 23,913 1,250 156 8 Landscape Architect 740 1 Marriage Counselors 1,372 1 Landscape Architect 740 2,500 42 17 Medical Examiners Medical Examiners 53,043 53 56,405 6 15,825 1,319 Nursing Education 120,749 10,300 1,717 70 Nursing Education 120,749 1 Optometry 2,825 1 1 Optometry 2,825 4,400 733 29 Osteopathic 404 2 -- Osteopathic 404 300 60 Pharmacy 19,182 18,255 2,282 91 Pharmacy 19,182 1 8 Private Investigator 1,824 5 Shorthand Reporter 1,270 2,975 595 24 Shorthand Reporters 1,270 1 Social Work Examiners 3,385 1,050 150 6 Structural Pest Control 3,962 3,450 575 23 Social Work Examiners 3,385 1 -- Structural Pest Control 3,962 2 Veterinary Medicine 2,512 3,975 663 27 Veterinary Medicine 2,512 1 1 Vocational Nurse 22,772 2,025 266 11 Yacht and Ship Brokers 640 1,250 250 10 Vocational Nurse 28,567 2 - Yaeht and Ship Brokers 640 2 1 Advisory Boards. b A major portion of this time is for grading examination papers, on a formula of 20 Total 672,420 191 41 papers equals one day's per diem. 7. Considering and acting on complaints and re- ports of infractions of code provisions or board to board activities, and another eight spend more regulations by licensees and non-licensees. than one but less than three days. 8. Reviewing and deciding proposed decisions of Among the more important organizational varia- hearing officers following formal proceedings tions are the use of advisory rather than administra- under the Administrative Procedure Act, at tive boards no board at all and committees at- times sitting with hearing officers in such pro- tached to boards to license particular categories ceedings. STAFF ORGANIZATION AND SERVICES In carrying out certain of the above functions, most The most common staff organization consists of an boards take quite similar approaches; in others the executive secretary and several clerical personnel en- variations are great. For example, the members of some boards compose, administer, and grade all ex- gaged in the processing of license applications and aminations whereas others use national examinations paperwork related to complaints, investigations, and and testing services or staff specialists. This is re- disciplinary procedures (TABLE III). Somewhat less flected in Table II (page 10) in that the Board of than one-half of the boards have professional or in- Dental Examiners and others showing large numbers vestigative staff personnel engaged in examination of per diem days spend considerable time grading preparation, inspections of training establishments, tests, a somewhat unusual activity for per diem re- or investigative work. Some of the latter boards look imbursement. Several boards devote substantial time to the Division of Investigation, a central unit under to activities other than actual licensing, such as ac- the Department Director, for certain but not all in- creditation of schools or business regulation. Others spectional and investigative services. Boards not hav- are heavily involved in formal or informal discipline. 3 Furniture and Bedding, Collection Agencies, and Electronic Re- pair Dealers. Eight of the twenty-six boards report that their mem- 4 Private Investigators and Adjusters. 5 bers devote an average of one day or less per month For example, Psychologists and Physical Therapists under the Board of Medical Examiners. DEPARTMENT OF PROFESSIONAL AND VOCATIONAL STANDARDS 11 ing this type of staff rely exclusively on the Depart- approval leads directly to licensure or registration ment's Division of Investigation for these services. (Table IV). Central staff units of the Department provide such Most pre-conditions are rather easily established or services as accounting, personnel, building operation, verified, the principal exception being the "good data processing, communications, methods improve- character" requirement found in most licensing laws. ment, and examination consultation. Individual boards The agencies commonly clear the applicant through or agencies are charged on a pro-rata basis for these the State Criminal Investigation and Identification and general departmental administration expenses. Bureau for any record of potentially disqualifying Legal services are for the most part provided by the crimes or offenses. Where such are found-or a record Office of the Attorney General on a reimbursement of offenses actually committed is not acknowledged by basis. Limited assistance from the Department's in- the applicant on his application form-the agency house counsel is available on request and two boards will decide whether or not to reject the application, retain their own attorneys. usually after having caused an investigation to be made. There are variations in the language of code LICENSE APPLICATION AND PRE-QUALIFICATION provisions treating with the "good character" re- PROCESS quirement and in their interpretation and application The licensing laws normally prescribe that a person by particular boards. In none of the code provisions must meet certain pre-conditions or possess specified or board regulations is "good character" adequately minimum qualifications to make application for a li- defined. If the decision is to deny the applicant, he is cense. These relate to citizenship, age, good character, given an opportunity for a hearing under the Admin- education, and, in some instances, work experience. istrative Procedure Act. The agency seeks a statement The application process is designed to establish these of issues from the Attorney-General, and the case is pre-qualifications as a condition to a person's being heard by a hearing officer from the Office of Adminis- allowed to take an examination. In some license cate- trative Procedure whose decision is advisory to the gories, there is no formal examination or test of com- board. petence, in which cases application acceptance and TABLE III TABLE IV LICENSING AGENCY STAFF LICENSE REQUIREMENTS (1966-67 Authorized) Good Reci- Moral procity Profes- Office Salaries Licensing Body Character Education Experience Permitted sional and and (1966-67 Licensing Body Technical Clerical Total Budget) Accountancy College Archictecture College . Accountancy 4 10 14 $106,000 Athletic Commission No No Architectural Examiners 5 5 10 80,000 Athletic Commission 13 4 17 126,000 Barber Vocational School No Cemetery No No Barber Examiners 3 9 12 86,000 Chiropractic College No Cemetery Board 2 2 4 39,000 Chiropractic 1 3 4 39,000 Engineer College . Collection Agency X High School No Civil and Prof. Engineers 15 23 38 297,000 Contractors No No Collection Agency 5 4 9 78,000 Contractors 99 66 165 1,232,000 Cosmetologist Vocational School No No Dental Examiners X College No No Cosmetology 6 20 26 177,000 Dry Cleaners Vocational School No Dental Examiners 5 6 11 106,000 Dry Cleaners 3 8 11 84,000 Electronic Repair Dealer No No Funeral Directors X b Electronic Repair Dealers 6 6 12 92,000 Furniture and Bedding No No Funeral Directors 2 4 6 53,000 Furniture and Bedding 10 10 20 151,000 Landscape Architect 6 yrs. education and experience No Landscape Architects a 1 1 9,000 Marriage Counselor No College X Marriage Counselor a b Medical Examiners X College No Medical Examiners 4 20 24 182,000 Nursing Education Vocational School No No Nursing Education 8 26 34 255,000 Optometrist X College No No Optometry 1 2 3 28,000 Osteopathic College No Osteopathic a 1 1 9,000 Pharmacy College* No Pharmacy 14 10 24 242,000 Private Invetigator No No Private Investigators R 5 5 27,000 Shorthand Reporters Vocational School No Certified Shorthand Reporters a 1 1 8,000 Social Work Examiners No College No X Social Work Examiners 1 1 2 22,000 Structural Pest Control X No X No Structural Pest Control 3 23 26 154,000 Veterinary Medicine No College No No Veterinary Medicine a b 5,000 Vocational Nurse Vocational School No Vocational Nurse 4 5 9 79,000 Yacht and Ship Brokers No No Yacht and Ship Brokers 1 1 2 23,000 Professional school or advanced degree requirements in addition to college degree. Executive Secretary shared with other boards. High School plus trade school for Embalmers. No requirements for Funeral Director. b Clerical staff shared with other boards. Partial. Applicant must take an oral exam and meet experience requirements. 3-75323 12 AN EXAMINATION OF THE The second kind of pre-qualification is the require- from the Office of Administrative Procedure-on all ment set for several licensed groups that applicants or selected cases; others do not. The decision of the must have from one to several years of prior work hearing officer is advisory to the board, which may experience judged qualifying by the board. Some approve the decision or reduce the proposed penalty. cases are not clear-cut, with applicants disagreeing To increase the penalty the board must call for and with the agency's evaluation of their experience-in review a complete transcript of the hearing or call these the board's decision is final. for a re-hearing. The most usual penalty assessed where the hearing EXAMINATIONS produces evidence of infractions is a license suspen- Applicants for all but a few license categories must sion with the suspension stayed subject to certain successfully pass an examination prior to being stipulations. Relatively few license revocations are or- granted a license. Several boards use examinations dered-there were approximately 150 revocations prepared by or for national professional associations during fiscal 1965-66 for the 580,000 licenses other and used by a number of states. Several others en- than contractors then in effect) 6 Many of these also gage the services of examinations specialists or look were stayed and the licensee placed on probation. to their own staff for the construction, administration, Complaints or reports of non-licensed persons en- and scoring of examinations. At least half of the gaging in a profession or vocation for which a license boards construct and administer their own examina- is required are systematically investigated. A warn- tions, board members personally doing the work. In ing may be issued if the allegation is found to be nearly all instances in which oral, practical, or per- supported, or, on serious or repeated offenses, the formance elements are included-as distinguised from local district attorney is asked to prosecute. Some written-board members conduct these either individ- 0 A total of 488 contractor licenses-of 92,000 in force-were re- ually or as a group National examinations given for voked, most frequently because of financial insolvency. a number of professions are not recognized in Cali- TABLE V fornia, being judged by the respective boards to be inferior to the local examination. ENFORCEMENT ACTIVITY Examinations range from very simple tests of (1965-66 Fiscal Year) knowledge of the particular licensing laws and board regulations to complex substantive examinations re- Per 1,000 Licensees quiring several days to complete. Some are given in sections-from two to as many as ten-with appli- Suspen- sions or cants allowed conditional credit for sections passed, Investi- Admin. Revoca- retaking only those failed. Most examinations are Licensing Body Complaints gations Hearings tions scheduled two or more times per year and liberal provision is made for an applicant to retake an ex- Accountancy 29 27 0.6 0.4 Architectural Examiners 48 25 None None amination a number of times. Athletic Commission 88 21.0 a There are wide variations in the pass-fail ratios, Barber Examiners 34 20 4.0 3.1 ranging from as low as 10 percent to nearly 100 per- Cemetery Board 31 8 3.0 0.6 cent passing a particular examination. There is no Chiropractic 22 14 3.0 0.9 discernible pattern to this performance in relation to Civil and Prof. Engineers 27 20 0.1 None the kind of profession or vocation. Collection Agency 212 252 31.0 9.0 Contractors 238 209 7.0 7.0 ENFORCEMENT ACTIVITIES Cosmetology 78 15.0 7.0 Dental Examiners 15 14 0.9 0.3 Enforcement activities fall into several primary Dry Cleaners 74 0.7 0.5 categories. A number of the licensing agencies carry Electronic Repair Dealers 294 163 0.6 1.3 out regular periodic inspections of licensed establish- Funeral Directors 20 19 2.0 0.4 Furniture and Bedding 113 90 0.3 ments, either through the Division of Investigation or 0.3 with individual board staff, in the course of which Landscape Architects 34 24 1.4 None Marriage Counselors 12 1 None violations are discovered. Other agencies rely on the None Licensed Physical Therapists 9 9 2.0 None receipt of complaints from various sources, including Medical Examiners 14 14 2.0 clients of licensees, and cause investigations to be 0.3 Nursing Education 2 2 0.6 0.4 made of the allegations by staff or Division of Inves- Optometry 8 0.7 0.4 tigation personnel. Minor infractions of code provi- Osteopathic 7 None None sions or regulations are commonly disposed of inform- Pharmacy 63 19 2.0 1.2 ally by a warning to the licensee or by bringing about Private Investigators 658 196 7.0 6.0 a settlement acceptable to the affected parties. Serious Shorthand Reporters 33 36 None None infractions are referred to the Attorney-General for Structural Pest Control 361 259 15.0 30.0 Veterinary Medicine 45 49 2.0 1.0 the institution of formal proceedings under the Ad- ministrative Procedure Act. These latter cases repre- Vocational Nursing 9 5 1.0 0.5 Yacht and Ship Brokers 115 50 6.0 None sent a very small percentage of those investigated, there being substantial variation between different Not applicable. boards. Some boards sit with the hearing officer- DEPARTMENT OF PROFESSIONAL AND VOCATIONAL STANDARDS 13 boards devote considerable energy to the restriction media. Violators are warned or action against them of this kind of activity. sought through a district attorney. A number of the licenses are not mandatory, the As attached TABLE V reveals, variations among law simply prohibiting a non-licensed person engaged boards in the number of complaints, investigations, in the profession or vocation from identifying or and formal disciplinary actions are great. In some instances the nature of the profession or vocation "styling" himself as a registered, certified, or li- explains the differences, but in others there would censed practitioner. Certain of the boards granting seem to be differing policies as to intensity of en- such licenses are actively engaged in seeking out viola- forcement effort or the informal handling of com- tors-using such techniques as checking the classified plaints and infractions of code provisions or board section of telephone directories and other advertising regulations. 14 AN EXAMINATION OF THE III. FINDINGS AND RECOMMENDATIONS-GENERAL It has been the general finding of the present study competence. Nevertheless, several of the vocational that the more than two hundred citizen members of licensing or registration programs do not include the boards in the Department of Professional and meaningful individual qualification requirements Vocational Standards are providing a significant serv- other than good character, or more accurately, an ab- ice to the State and to the professions they represent. sence of evidence of bad character. They bring to these boards talents and the kind of All of the State's licensing programs are not cen- experience and expertise that would not otherwise be tralized in the Department of Professional and Voca- obtainable. The time devoted to their activities as tional Standards and those which are include some board members represents a substantial personal con- of both categories-business and professional. Other tribution. It is therefore most important that these departments are licensing both business and occupa- boards be given technical and staff assistance of a tional groups. Local governments also conduct licens- kind and quality that will permit the members to ing programs, for both revenue and regulatory pur- concentrate their efforts on the policy and standard poses. setting functions that only they can perform. Obviously, the present study cannot cover the entire Since the state government has entered the field of licensing spectrum, yet there is within the Depart- licensing and regulating certain profession, voca- ment of Professional and Vocational Standards a suffi- tions, and businesses to fulfill a public need, it is es- cient number and variety of licensing programs to per- sential that these programs be administered in a way mit and require the development of certain criteria that most effectively serves the broad public interest. of general applicability. There is nothing incompatible with the achievement of this objective and the significant use of citizen boards, Recommendations the majority membership of which are drawn from the licensed groups. The recommendations that follow Licensing by the State of the members of a pro- have been developed with this conclusion in mind. fession or vocation should be undertaken only when: 1. Failure to do SO would present a clear and defi- GROUPS REQUIRING STATE LICENSING nite danger to the general public health, safety, Although the principal objective of the present or welfare-as distinguished from the interests study is to define how citizen boards can be most ef- of a particular group or segment. fectively used in the administration of state licensing 2. Specific pre-qualification standards can be estab- programs, it is necessary first to explore the question lished and there is reasonable assurance that per- of what groups should be licensed and for what pur- sons meeting such standards will be able to func- pose. The underlying philosophy is well known. Un- tion effectively in the vocation and those who fail der our system of government we generally subscribe to meet the standards could not. to the rule that a person should be allowed to choose his own occupation and pursue it free from govern- Licensing by the State of businesses-as distinct ment interference. It is recognized, however, that sit- from individual professional or vocational licensing- uations occur in which government has an obligation is justified only where: to intercede to protect the public against the conse- 1. A fiduciary relationship exists between the li- quences of ignorance and incapacity, as well as censee and the public. against deception and fraud, inherent in a business 2. The nature of the business and the relationship or profession if practiced by persons lacking the nec- between the licensed business and the public is essary knowledge and abilities.¹ Licensing is one such that the public requires special protection means of doing this. The problem arises in seeking to against fraud. identify those businesses and professions which by 3. The general law and other remedies available to their nature require licensing in the public interest. the public do not afford a reasonable protection A fairly sharp distinction can be made between the or assurance of redress. licensing of a business as distinguished from a pro- fession or vocation, although in some instances there A number of the presently licensed groups do not is overlap. Business licensing by the State is primarily meet one or the other of these criteria, nor do most of directed towards protecting the public from fraud the new groups now seeking licensure. It is therefore rather than incompetence, thus the licensee usually recommended that: need not meet any fixed personal qualification stand- 1. The Legislature, in considering requests for the ards. Professional and vocational licensing, on the licensing of new groups, measure the need for other hand, centers around measuring the individual's such licenisng against the criteria set forth in qualifications even though in many cases the protec- this report. tion afforded the public is from fraud as well as in- 2. These criteria be applied in considering business 1 A current, and excellent, treatment of the philosophy of licens- and occupational licensing carried out by de- ing is: Business and Professional Licensing-California, a partments other than the Department of Pro- Representative Example, J. F. Barron, Stanford Law Re- view, February, 1966. fessional and Vocational Standards. DEPARTMENT OF PROFESSIONAL AND VOCATIONAL STANDARDS 15 MANDATORY LICENSING THE EXAMINATIONS PROCESS At present a number of the licensing programs Although it is recognized that variations in the involve the granting of name-only licenses or registra- nature of activity in the several professional and vo- tion. A person need not possess a license or be reg- cational fields will require differing kinds and ways of istered to engage in the work of the profession or measuring an applicant's qualifications for entry, vocation; he is simply prohibited from identifying this does not explain the unusual variety of examin- himself by or using whatever title is specified in the ing practices now in use. This was borne out by a licensing act, e.g., Registered Social Worker or Land- recent intensive study made by the Examinations scape Architect. The enforcement program in these Consultant on loan to the Department from the categories concentrates in large part on seeking out State Personnel Board.² Boards engaged in examining persons improperly using the restricted title and caus- persons for professions or vocations or substantial ing them to desist. The justification offered for this comparability use widely different techniques for ex- type of licensing is that the public can be assured that amination construction, administration, and grading. the person with a license or registered is fully quali- Some use recognized national examinations, others fied in the field. prepare their own even in fields where such national examinations exist and enjoy wide acceptance; some Recommendations employ staff or consulting specialists to construct If a genuine need exists for protecting the public tests, others use board members; some engage staff from persons unqualified by lack of training or good or proctors to administer and grade examinations, character practicing a particular profession or voca- others use board members; and SO on. There is no tion, and if licensing will give the needed protection, uniformity in provisions for retaking examinations that licensing should be mandatory. To permit un- or for giving partial credit. As has already been licensed, i.e., unqualified, persons to function in that noted, there are variations in pass-fail percentages of capacity is to leave the public unprotected. Specific from less than 10% to more than 95%. exclusions or exemptions could be allowed, as, for ex- Policies for granting reciprocity are varied; in ample, in instances in which an unlicensed person some cases there is full reciprocity, in others partial, works under the immediate direction of a licensee who and in the great majority none at all. accepts full responsibility for the former's actions, or There is no great merit in uniformity as such, but in an institutional setting. It is further believed that practice as varied as now exists unavoidably raises so-called "title" or "name-only" licensing does not questions of equity and unjustified discrimination protect the public. among persons seeking careers in the several licensed fields. Significant differences in the performance on examinations by graduates of the same accredited MULTIPLE LICENSE CATEGORIES IN A SINGLE educational institution in different professional areas, OCCUPATIONAL AREA or in specialized categories in the same area, suggest There is a tendency in a number of professional defective or unrealistic examination policies and tech- and vocational areas to recognize several rather nar- niques. Either some are restrictive to the point of ex- row or specialized license categories. This at times cluding from licensure persons who possess the essen- takes the form of creating levels or a vertical series of tial qualifications, or some are SO low as to admit license classifications, such as Registered Barber Ap- unqualified persons; in all likelihood both situations exist. prentice, Barber, and Barber College Instructor, or multiple narrow specializations at the same level, as Recommended General Criteria the many license classes of contractors. In some cases these distinctions are necessary and justified, but in Recognizing that special situations will need to be accommodated and that a measure of flexibility is many the result is a hardship on rather than a pro- desirable, the following criteria are recommended for tection to the public, requiring the employment of general observance. Significant deviations from these several persons or firms to provide a service that one by a board should be permitted only where the justi- might do as well and more economically. fication is persuasive, and only with legislative sanc- tion or the approval of the Director, Department of Recommendations Professional and Vocational Standards. Within a given profession or vocation the number 1. Examinations developed or approved by na- of license categories should be held to the minimum tional professional associations and used in a essential to protect the public interest. Generally, the number of states should be used in California public is adequately protected if the licensee meets the unless substantial evidence exists that their use basic qualifications for professional or journeyman- would not provide the public a reasonable pro- level performance in the field. Individuals may spe- tection. Where such national examination does cialize within that field but separate licensing should not exist, the subject matter coverage and gen- eral content of examinations should be deter- not normally be necessary-the single license for Physician and Surgeon, regardless of specialty, illus- mined by the licensing board and the examina- trates the preferred approach. 2 License and Examination Policies and Procedures, Department of Professional and Vocational Standards, August, 1966. 16 AN EXAMINATION OF THE tions constructed by specialists and finally character both for applicants and for persons holding approved by the board. licenses. Because code provisions are vague, inconsis- 2. The Department of Professional and Vocational tent, and unevenly applied, many persons suffer un- Standards should provide a central testing serv- necessarily. ice for all licensing agencies in the Department. Recommendations This would include, as appropriate, test con- struction, administration, and grading as well as 1. The provisions in the several licensing acts im- general examinations consulting services. Such posing good character requirements should be could be provided by a staff unit within the de- made more consistent and what constitutes "good partment or under an agreement with the State moral character" explicitly defined. The depart- Personnel Board or outside organizations offer- ment should request of the Attorney General a ing these kinds of services. definition of "good moral character" for uni- 3. Wherever feasible, written examinations should form application in the licensing programs. be constructed SO as to permit economical ma- 2. Individual boards should set clear policy guide- chine processing and grading. lines to aid staff and hearing officers in applying 4. Performance portions of examinations which the good character requirements. cannot be evaluated validly by the central ex- aminations staff should be conducted by quali- THE ENFORCEMENT PROCESS fied licensee "commissioners" or, if this is not The second major element of a program of licens- feasible, by licensee members of the board func- ing a profession or vocation-the first being control tioning as an examining committee. of entry-is the provision of required supervision 5. Oral examinations should be used only as tests over the licensed group. The purpose is to obtain of individual competence and qualifications, as compliance with the provisions of law, and regula- are written examinations. tions issued thereunder, regarding licensee activity 6. Boards should fix passing grades both for locally and conduct. This is a combination educational and prepared and for national examinations used in disciplinary process with emphasis more on seeking the State, after consulting with and receiving voluntary compliance than on punishing offenders. the recommendations of the central testing serv- The varied approaches taken by licensing boards to ice (proposed in Item 2 above). achieve compliance have already been noted: for ex- 7. An unsuccessful candidate should be given an ample, the inspectional programs, informal arbitra- tion between a licensee and a client, or the issuance opportunity to review his test paper and receive of oral or written warnings by boards or their staff. an explanation of any question in doubt; the board should hear and resolve those protests in The resort to proceedings under the Administrative Procedure Act is the course usually taken when less which its staff is unable to satisfy the individual. severe enforcement measures fail or when the offense 8. Each board should cause to be prepared a sum- is of a serious nature. Readiness to invoke these pro- mary report on each examination given, includ- ceedings varies widely among licensing boards, in part ing information on the numbers passing and because of the particular nature of the licensed ac- failing, and make the report available to any tivity and in part because of differing board philoso- participant on request. phies as to how compliance can best be obtained. 9. The boards should, in consultation with the Di- Several elements of the enforcement process de- rector of Professional and Vocational Standards, serve special consideration for they pose basic ques- develop a uniform policy on the granting of tions of assuring adequate public protection. At issue partial credit and the privilege of retaking ex- is the concentration of authority at one point, i.e., the aminations; this policy could permit variations licensing board. Matters of administrative cost and to meet special situations. expeditious processing of actions are also involved. 10. The code provisions and board policies regard- The frequently made complaint of extended delays ing reciprocity should be liberalized to permit in obtaining a decision on an application, appeal, or licensees of states maintaining qualification enforcement action reflects the need for speeding up standards comparable to California's to obtain their processing. California licenses without examination or wait- ing periods. Receipt and Processing of Complaints The effect of the application of these recommended In those enforcement programs not including reg- criteria would be to relieve the boards of time-con- ular inspections of licensed premises heavy reliance is placed on the public "complaints" regarding li- suming duties of a recurring and technical nature censee performance. Even where establishment in- and free them for the policy and deliberative func- spections are systematically conducted, complaints tions which they best perform. from the public are the only avenue through which certain aspects of licensee conduct become known to Good Moral Character Requirement the licensing agency. Most often the individual di- It was earlier noted that requirements for most, rects his complaint to the concerned board, but in a but not all, license groups include one of good moral number of instances he communicates with the De- DEPARTMENT OF PROFESSIONAL AND VOCATIONAL STANDARDS 17 partment, the Governor, or a legislator. Some boards civil service list, and (b) the successful functioning receive SO few citizen complaints as to suggest that of present Division personnel in a number of license the nature of the profession, vocation, or business is areas. The advantages that accrue from the speciali- such that licensing is not needed for public protec- zation of investigative personnel assigned to a single tion, or that the public is not aware of the protection board are offset by the likelihood of bias, particu- available to it. In a great many instances the person larly when they are responsible to a group of repre- is complaining of a licensee action or behavior not sentatives of the industry or profession regulated. To a matter of board jurisdiction-alleged excessive the extent that specialized investigators are needed charges or inferior performance are the most com- for particular types of cases, they are better placed mon. Some boards proceed in an informal way to in a central unit independent of the particular in- deal with these by at least informing the involved dustry or profession. licensee of the complaint; others simply notify the complainant of their lack of jurisdiction. Few boards Recommendations take a sufficiently orderly approach to the recording, 1. All licensing agencies in the Department of Pro- review, and analysis of complaints to provide infor- fessional and Vocational Standards should utilize mation needed for enforcement policy or code provi- the services of the Division of Investigation.³ sion evaluation. 2. To the extent necessary or desirable, subject Recommendations matter specialization of a portion of the staff of the Division of Investigation should be accom- 1. The several licensing boards and the Depart- plished. ment should jointly study the present complaint procedures and seek agreement on a uniform Legal Services method of processing complaints; the possibility Two of the present licensing boards-Dental Exam- of a central complaint recording and screening iners and Funeral Directors and Embalmers- service should be considered. The need to accel- engage their own counsel; all others use the Office of erate the processing must be stressed. the Attorney General and, to a very limited extent, 2. Boards should publicize, by all reasonable means, the legal staff of the Department. The latter, com- their role of receiving and considering com- prised of two persons classified as Administrative plaints and the kinds of licensee acts or per- Advisers, give advice and counsel on varied legal formance prohibited by code provision and questions referred to them, but do not represent board regulation. boards in actions taken under the Administrative 3. Licensees should routinely be notified of com- Procedure Act. The service given by the Attorney plaints concerning them whether or not the al- General is on request of the individual boards and leged action constitutes a punishable offense. consists of Inspectional and Investigative Services 1. Advice on varied legal questions such as inter- pretation of code provisions, drafting of regula- Approximately two-thirds of the licensing boards tions, and any other matters requiring advice of rely exclusively on the central Division of Investiga- counsel tion for inspectional and investigative services, the 2. Advice on specific cases as to the sufficiency of remaining one-third retain their own staff for this evidence to proceed under the Administrative work, at times calling on the Division for assistance. Procedure Act or to effect other disposition This difference in approach cannot be explained on the basis of the kind of profession or vocation regu- 3. Preparation of accusations and statements of lated. For example, the Board of Medical Examiners issues and representing the boards at hearings uses the Division, whereas the Board of Dental Ex- under the Administrative Procedure Act aminers does not; the Structural Pest Control Board 4. Representing boards in cases heard on appeal or does, the Contractors' Board does not. otherwise in the regular courts The advantages of a central unit to serve all licens- The costs of these services has from time to time ing agencies are of two kinds, objectivity and econ- become an issue-in the fiscal year 1965-66 these omy. Having inspections and investigations performed by persons not under the immediate control of a board costs amounted to a total of nearly $500,000. The At- comprised almost exclusively of licentiates gives an torney-General bills each board on a fixed all-inclu- added assurance to the complainant and the public sive hourly rate of $14.25 for professional time de- of objectivity or freedom from bias. The economies voted to board affairs. Here, as in relation to other of a central service with personnel trained in inves- major elements of enforcement activity costs, concern tigative techniques supplemented by specialized train- is expressed that a board's ability to pay-based on ing in several subject areas, functioning out of its special fund income-may influence decisions as regional offices, are obvious and have been demon- to whether to take no disciplinary action or to dis- strated by the present Division. The contention that pose of a case informally without permitting con- each licensed group is unique, requiring specialized investigative personnel, is disproved by (a) the fact sideration of license suspension or revocation. that most such personnel are taken from the same 8A Commission-proposed bill introduced in the 1967 session to accomplish this failed of adoption. 18 AN EXAMINATION OF THE Suggestions have been made that, as an economy would be contingent on providing the necessary pro- measure, the Department enlarge its legal staff to tection to the individual licensee and to the public perform the services now provided by the Attorney- served by the licensee. Should this be possible, the General. This would be possible and desirable in re- use of the informal hearing is recommended. The spect to items 1 and 2 above, but not items 3 and 4. decision as to whether or not to follow this course The Attorney-General with offices in Sacramento, and the types of cases to be SO processed should rest San Francisco, and Los Angeles, where most hearings with each board. are conducted, has staff resources and flexibility the Department could not effectively or economically ORGANIZATIONAL AND ADMINISTRATIVE duplicate. There are indications that the executive ARRANGEMENTS officers of several of the boards seek Attorney-General Under present arrangements it is accurate to state advice on matters they themselves should be able to that the authority of the Director of the Department resolve or which could more economically be handled of Professional and Vocational Standards is in part by referral to the administrative advisers in the De- indirect and dependent upon his powers of persua- partment for advice. The retention by individual sion and, secondarily, on. the ability of the central boards of their own counsel is ill-advised both from staff units to provide services to attached licensing the standpoint of cost and resultant absence of an agencies that are superior or more economical than independent source of advice as an added asusrance the boards can provide for themselves. It was noted of public interest representation. earlier that the Director possesses greater legal author- Recommendations ity than he has been willing in the past to use. The boards' relationships vis a vis the department is 1. Individual licensing boards should not engage therefore the central administrative issue. their own legal counsel. 2. All licensing boards should utilize the in-house Board Composition department counsel for all legal advice other How a board is constituted, in terms of special than representation at hearings under the Ad- (licensee) and public interest representation, has a ministrative Procedure Act and litigation in the direct and critical bearing on the nature and extent courts. of the authority properly assignable to it. Also in- 3. The services of the Office of the Attorney Gen- volved is the question of economy and effectiveness eral should be used in all hearings under the Ad- in administering the program, and this introduces the ministrative Procedure Act and litigation in the consideration of the relative merits of central versus courts. decentralized staff and facilitative services. Informal Hearings Board Membership. It is obvious that a board charged with the licensing of a profession must in- As a means of speeding up action on disciplinary clude members fully knowledgeable in that profes- cases, and reducing their administrative cost, various sion. Their expertise is essential in determining such proposals have been advanced for some form of matters as qualification standards, examination con- informal hearing short of proceeding under the Ad- tent, practitioner performance, and ethical behavior. ministrative Procedure Act. One under current con- Normally this means that the members will themselves sideration would permit such proceedings by licensing be licentiates of the board. It can be assumed that boards with the consent of the parties concerned most persons selected from the profession to serve and would empower the board to impose sanctions, on such a board will have stature in their profession including fines. Should the licensee not accept the de- and will be sufficiently broad-gauged to be cognizant cision he could request a formal hearing under the of the public interest as well as that of the profes- Administrative Procedure Act. sional group. It is however unreasonable and unfair Several of the boards now follow a policy of issuing to expect them to be completely objective in their informal warnings or instructions to comply to outlook. licensees found guilty of a technical violation or In 1961, the legislature recognized this problem by minor infraction of a code provision; several also adding one public member to each of the boards which observe a practice of calling the licensee before the prior to then were comprised exclusively of "in- board to discuss his actions and obtain compliance. dustry" representatives.⁴ All of the boards now rec- The Contractors' License Board through its staff ognize the value of the public member in his offering personnel seeks to bring complainants and licensees a differing viewpoint or perspective; however, as a to an agreement-as do several other boards, but minority of one in a board comprised of five to to a lesser extent-where fulfillment of contract or twelve members, his ability adequately to represent workmanship is at issue. The current proposals ex- the public interest is subject to question. tend this approach to authorizing the imposition of The argument against the addition of more public sanctions. or nonindustry members rests on the alleged need for Recommendations 4 An exception to this is the Board of Chiropractic Examiners which was created by initiative measure in 1922; all five The feasibility of introducing this type of pro- members are licentiates. The 1961 statute adding the public ceeding into the licensing enforcement program member did not apply in this case in that a vote of the people is required to alter the Board's composition. DEPARTMENT OF PROFESSIONAL AND VOCATIONAL STANDARDS 19 board members to be fully conversant with the pro- 4. Wherever feasible, there should be representa- fession or industry if they are to participate signifi- tives of professions closely allied to the one be- cantly in certain of the present board activities; the ing regulated. fixing of educational and experience standards for 5. Letters of appointment to membership on boards entry into the profession and the preparation and should emphasize that each board's activity is conduct of examinations are the activities most fre- a part of a much broader program of licensing quently cited. This argument is not fully persuasive and the board is an integral part of the Depart- in that alternatives to prevailing methods of board op- ment, not an autonomous, self-contained entity. eration are available. These include use of nationally set standards, examinations prepared or approved by It is appropriate at this point to restate the general national professional associations, examining "com- criteria for board creation and membership that were missions" or committees of board members and others developed in the earlier study by this Commission.⁶ who are licentiates, and outside consultants. Each of 1. Appointments to statutory boards or commis- these techniques is now being used by one or more sions in the executive branch should be made by boards. These are discussed in a subsequent report the Governor. section. 2. The number of members should not normally Another method of broadening the interest base exceed seven, with a lesser number on adjudi- of board membership-other than the addition of cative bodies. more public members-would be the ex officio mem- 3. Terms of office should be definitely fixed, pref- bership of the Director of the Department or his erably at four years. designee. This would have the added advantage of permitting improved departmentwide coordination 4. Members should not receive compensation (other and introduce a kind of management expertise that than for full-time service but should receive is now lacking on many boards which are frequently ample expense allowances. called upon to decide matters having significant ad- 5. Members should be selected first on their ability ministrative ramifications. An unsuccessful effort was to represent the general public interest and only made in the current legislative session to authorize secondarily on their special knowledge of the this-in a Commission-proposed bill. The point has subject area. not been clearly made that the Director of the De- 6. Beneficiary or special interests may be repre- partment has actually been denied the right to sit sented, but only when the need for their special with boards in their "executive" sessions-even as a knowledge or support is clearly demonstrated non-voting observer. It is difficult to see such and then only as a minority of the membership. an arrangement as being in the public interest, or consistent with good government practice. All of these are recommended for licensing boards with the exception of the minority membership pro- Another technique for achieving a more balanced vision in Item 6. board is that represented by the present composition of the Board of Vocational Nurse Examiners. Of its Business Versus Professional Licensing Boards. eleven members, seven are licentiates and four are In considering how much and what kind of authority representatives of allied professions and vocations— should rest with a board, a distinction must be made a physician, a registered nurse, a hospital administra- between boards engaged in the licensing of a profes- tor, and a school administrator. In this case it has sion or vocation and those regulating a business or worked well and there would seem to be considerable industry. merit in extending its use to other licensing areas; In the former, the major emphasis is placed on set- for example, cross-representation of architects, pro- ting educational, experience, and character require- fessional engineers, and contractors on their respective ments and testing or measuring applicants against boards would bring together representatives of major these, and on assuring the observance of standards of segments of a total industry whose interests are re- compliance and professional conduct by licentiates. lated but not identical. These standards are best set with major participa- tion by the profession concerned. In the regulation Recommendations of a business, on the other hand, the possession of 1. A majority of the members of a board licensing professional and technical qualifications by the appli- a profession should be drawn from the profes- cant as a pre-condition to obtaining a license either sion being regulated. 5 is not a factor or those qualifications are limited to 2. The Director, Department of Professional and proof of financial assets, good character, understand- Vocational Standards, or his designee, should ing of the laws relating to the business, and the like. serve as an ex-officio member of each board. Also, the public is being protected primarily against 3. On each board licensing a profession, there fraud or misrepresentation rather than incompetent should be a minimum of one public member not practitioners. Here it would not be in the public a licentiate of any Professional and Vocational interest to place authority in the hands of the in- Standards licensing agency. dustry. 6 The Use of Boards and Commissions in the Resources Agency, 5 See the next report section for the distinction between the Commission on California State Government Organization licensing of a profession and a business activity. and Economy, April, 1965. 20 AN EXAMINATION OF THE Recommendations dividual board preferences. In another section of 1. Boards involved in the licensing of professions this report recommendations are presented which if and vocations should have policy and regulatory adopted would relieve many of the boards of much authority. of the detail or staff-type work now performed by board members. The most appropriate role of the 2. Boards involved in business licensing which meet boards is determining the subject matter on which the criteria set forth in this report should be applicants will be tested and the type of examina- regulatory and a majority of the members tions to be given, approving examinations prepared should be non-licensees. by specialists, setting the time and place, participat- The discussion that follows relates only to the first ing as necessary in the conduct of performance tests, type of board-one which regulates a recognized pro- and considering appeals or protests received from fession or vocation-or business licensing boards with various sources. This role would be consistent with non-licensee majority membership. the general criteria that boards function in a policy, regulatory, and adjudicative capacity avoiding wher- Professional Licensing Board Authority and Functions ever possible the performance of administrative or It was found in the earlier study made by this technical duties. Commission that a board functions most effectively Regulation and Enforcement. Licensing acts to in the areas of policy formulation, rule-making, varying degrees prescribe specific kinds of behavior and adjudication. That finding applies with equal or actions on the parts of members of licensed groups force to professional licensing boards. In the para- which are cause for discipline, including license re- graphs that follow these criteria are applied to the vocation. Similarly, code provisions either prohibit specific steps in the total licensing process. It is as- practice in the profession or vocation by non-licensees sumed that the boards would be constituted as pro- or prohibit their use of the licensed titles. Usually posed above, with fully adequate public (and depart- the boards issue regulations or rules interpreting or ment) representation. applying the provisions of the code and set policies Setting Scope and Content of a Licensing Pro- for staff guidance. These are proper board functions. gram. It is essentially a legislative responsibility to All boards in the Department of Professional and determine the basic content of a licensing program Vocational Standards are required to observe the Ad- and to review and modify this from time to time. ministrative Procedure Act in taking any formal dis- The legislature expects guidance and logically looks ciplinary action, in which cases the boards function to the Department and its boards for this. Further, in an adjudicative role, either sitting with the hearing within the broad provisions of the legislation author- officer or receiving and acting upon his proposed de- ity must be delegated for developing and implement- cision. This also is a proper board activity. There ing policies consistent therewith. In their particular are major variations among boards in the extent to areas of competence the boards are the logical recip- which they enter into enforcement and disciplinary ients of such a delegation. activities short of resorting to the Administrative Procedure Act. These, considered elsewhere in this Establishing Licensure Requirements. The fixing report, are generally categorized as efforts to achieve of those standards of professional or vocational edu- licensee compliance through education or the applica- cation, training, and experience an applicant for tion of informal disciplinary measures. licensure must meet, or interpreting those fixed by code, can best be done by the boards. The basic re- Recommendations quirements should appear in the licensing code. Re- In general, licensing boards should be policy, rule- quirements of citizenship, residence, age, character, making, and adjudicative bodies. More specifically, and others of a nature not unique to the particular they should: profession are best fixed in general licensing code pro- visions with maximum feasible uniformity for all 1. Develop, in consultation with the Director, De- groups-some exceptions may be required. partment of Professional and Vocational Stand- ards, the scope and content of the licensing Processing Applications. The processing of appli- program for review and enactment by the legisla- cations-assuming clear and definite standards are ture. set-is a matter of routine best performed by staff with board involvement only in doubtful cases as 2. Interpret licensing code provisions in their par- referred to it by staff. Rejections based on failure ticular areas of competence and develop policies to meet good character requirements should, as now, and regulations for implementation of code pro- be conditioned on the right of the applicant to re- visions. quest and obtain a hearing under the Administrative 3. Consistent with the licensing code, set education, Procedure Act. training, and experience requirements for entry Examinations. It has already been noted that wide into the profession or vocation. (Requirements differences now exist among boards as to the degree of citizenship, residence, character, and the like of board member participation in the several steps should be fixed in general licensing code pro- of the examining process-differences that can for visions with allowance for exceptions in unusual the most part be explained only on the basis of in- situations.) DEPARTMENT OF PROFESSIONAL AND VOCATIONAL STANDARDS 21 4. In the examination process, and consistent with than is proposed in this report. The recommendations previous recommendations for use of national that follow are directed towards the achievement of examinations, where possible boards should: improved performance of basically staff or house- (a) Determine subject matter coverage and gen- keeping services, retaining with the boards their au- eral content. thority to set and enforce policies and standards. (b) Decide the type of examination to be used. (c) Approve examinations prepared by staff or Recommendations specialists. 1. For purposes of continuing liaison, the several (d) Fix regular times and places for giving licensing agencies in the Department should be examinations. grouped as (a) healing arts and related, (b) (e) Participate to the extent necessary in the construction and related, and (c) business and conduct of performance tests. other, and a deputy director assigned to each. (f) Review results and, in consultation with ex- Logically, these deputies would serve as mem- amination specialists, set passing grades. bers of the boards, representing the Director, (g) Hear and decide appeals or protests regard- should the recommendation that the Director be ing the general validity of examinations. a member ex officio of each board be accepted. 5. Establish enforcement and disciplinary policies Alternatively, each deputy should attend the and regulations. regular meetings of the boards in his area of concern. 6. Recommend to the Legislature specific causes for license suspension and revocation. 2. The Department and the boards should jointly carry out intensive studies of code provisions in 7. Resolve enforcement problems-general and spe- an effort to acheive a greater uniformity or con- cific-referred by staff and others. sistency in licensing requirements common to all. 8. Sit with hearing officers on cases where profes- Any proposals for code revision originating with sional incompetence or negligence is alleged. a board should be submitted to the Director for 9. Review and make final decision on hearing officer review and comment prior to submission to the recommendations. Legislature. 3. The Department's administrative analysis sec- Department-Board Relationships tion, as well as such service units of central The organization of the Department of Professional staff agencies, should be used to better serve and Vocational Standards and its jurisdiction over the boards in the development of more economi- and services to the individual licensing boards has cal and* effective administrative procedures and been the subject of repeated study. Invariably, the work methods. recommendations center around the degree or extent 4. There should be created a central testing service of authority that should rest with the Department. to provide to all boards the kinds of specialized The boards, understandably, resist what they view as services proposed elsewhere in this report. improper external interference into their affairs and 5. The services of the Office of Administrative Ad- are reluctant to give added authority to the De- viser should be expanded to provide legal coun- partment. The case for strengthening the role of the sel to all boards, short of those of the Attorney- Department rests on considerations of economy and General in connection with formal proceedings. protection of the broad public interest through a degree of control over individual profession or in- 6. All inspectional and investigative personnel dustry dominated licensing programs. There is gen- should be transferred to the Department's Divi- eral agreement that boards are needed, but almost no sion of Investigation, which would then serve agreement on what, specifically, their relationships all licensing agencies in the Department. with the Department should be. 7. In the interests of economy and improved service In the preceding report section recommendations to the public, those processes susceptible to me- are offered regarding what are considered appropriate chanization should be standardized and pro- board functions; what follows assumes the general grammed for the Department's data processing acceptability of those recommendations. If there is equipment. A recent study made by outside con- to be a Department, it must have some role other sultants points to a possible annual savings of than that of offering advice and services to a group $400,000 by a further mechanization of routine of essentially autonomous entities. Much has been clerical operations. The equipment and systems accomplished in the past through the willingness of employed should be compatible and consistent the several boards to cooperate in the support and with what is planned elsewhere in the State use of common staff services. Boards have, and rightly Government. so, insisted that before agreeing to transfer certain Financing of Licensing Programs staff activities to a central unit they be assured of a more economical or effective service. Assuming a con- As noted earlier, with the single exception of the tinuation of this attitude, there is no need for any Athletic Commission the operations of each licensing more substantial modification of the present organi- agency are fully financed from fees collected for zation structure and department-board relationships examinations and license issurance and renewal. There 22 AN EXAMINATION OF THE is wide variation in the fees assessed, ranging from a process for ultimate legislative approval. Being spe- few dollars to more than $100 for original issuance cial fund activities, the executive and legislative re- and renewal. TABLE VI indicates that the annual view is less meaningful than for general fund pro- cost per licensee ranges from $3 to $278, the median grams; however, some central control is exercised falling around $25. The differences reflect such vari- over staff positions, salaries, and other common items. ables as thoroughness of the examination, intensity Current special fund balances are shown in TABLE of the enforcement program, number of licensees, or VII. These range from modest to substantial. As noted nature of the profession or business activity. earlier, the several boards are assessed a pro rata Fee schedules are commonly set by statute as not share of the cost of departmental administration and to exceed fixed amounts or as specified ranges within services. These and Attorney General charges are which limits the individual boards make specific shown in TABLE VI. ranges within which limits the individual boards Because a state licensing program benefits the li- make specific determinations based on operating censed individual and group, as well as the public, needs. Annual budget requests are submitted through there is ample justification for charging fees for the the Department and the regular executive budget service. In most categories, but not necessarily all, TABLE VI LICENSING PROGRAM COSTS (Fiscal Year 1965-66) Departmental Charges Attorney General Administrative Licensing Body General Investigative Charges Procedure Other Total Per Licensee Accountancy $26,298 $38,728 $12,427 $5,235 $269,659 $352,347 $13.23 Architecture 10,229 -- 4,005 116,249 130,483 26.66 Athletic Commission 12,740 4,341 151,962 169,043 151.34 Barber 21,899 124,662 7,928 6,961 160,376 321,826 7.52 Cemetery 5,450 2,667 2,002 60,197 70,316 42.59 Chiropractic 8,409 21,479 2,537 2,150 67,981 102,556 22.21 Civil and Professional Engineers 34,860 1,117 115 443,189 479,281 9.71 Collection Agency 18,344 10,866 26,663 a10,988 93,678 160,539 278.71 Contractors' 139,166 178,996 *134,482 1,552,696 2,005,340 21.63 Cosmetology 44,702 181,791 37,191 25,330 345,072 634,086 4.77 Dental Examiners 11,897 1,502 169,013 179,408 12.14 Dry Cleaners 24,021 128,589 9,599 1,027 143,359 306,595 15.34 Electronic Repair Dealers 15,592 96,468 6,864 4,359 120,123 243,406 36.14 Funeral Directors 7,123 763 523 88,983 97,392 21.77 Furniture and Bedding 45,712 292,520 3,049 1,731 231,300 574,312 24.02 Landscape Architect 2,055 2,334 689 781 22,352 28,211 38.12 Marriage Counselor 2,000 7,623 9,623 7.01 Medical Examiners 51,571 224,237 70,167 25,376 312,809 684,160 12.90 Licensed Physical Therapists 1,031 4,869 201 5,185 11,286 11.75 Registered Physical Therapists 1,326 4,869 42 219 8,214 14,660 6.06 Nursing Education 41,167 86,776 17,594 9,410 404,979 559,926 4.67 Optometry 5,142 10,650 6,791 *2,341 41,495 66,329 23.47 Osteopathic 1,848 1,000 91 161 10,791 13,891 34.38 Pharmacy 35,583 59,170 24,333 7,237 362,603 488,926 25.49 Private Investigators 8,677 44,042 9,349 4,818 45,770 112,656 136.72 Shorthand Reporters 2,337 1,438 470 -- 22,165 26,410 20.79 Social Work Examiners 2,283 28,205 30,488 9.00 Structural Pest Control 34,479 127,521 38,649 25,934 246,053 472,636 119.29 Veterinary Medicine 3,629 9,352 3,654 1,587 31,005 49,227 19.60 Vocational Nurse 11,254 11,670 3,793 2,976 123,675 153,368 6.73 Psychiatric Technicians 226 1,500 113 16,894 18,733 3.21 Yacht and Ship Brokers 1,868 4,684 1,081 510 17,251 25,394 39.68 Total $630,918 $1,491,215 $470,509 $282,410 $5,720,906 $8,592,854 a Budgeted amount-actual expenditures not available. SOURCE: Quarterly detail expenditure report, Department of Professional and Vocational Standards, March 31, 1967. DEPARTMENT OF PROFESSIONAL AND VOCATIONAL STANDARDS 23 TABLE VII the fees should be set at a level that would cover SPECIAL FUND BALANCES the total costs of the program. It does not follow Department of Professional and Vocational Standards from this, however, that license fees from each ac- tivity need or should be placed in a special fund. Current Surplus The existence of special funds unnecessarily compli- cates the State's financial planning and control proc- Actual, Estimated, esses and limits the effectiveness of executive and Fund F.y.1965-66 F.y.1966-67 legislative review of expenditure programs.⁷ Their use in respect to licensing activities tends to fix artificial Accountancy 201,165 259,197 limits on the scope of regulatory and enforcement Architectural Examiners 364,963 298,522 Athletic Commission programs and influence decisions in specific discipli- nary cases. Rather than developing a program based Barber Examiners 232,014 5,358 Cemetery Board 29,683 29,989 on actual needs, the tendency is to build the program Chiropractic Examiners 80,153 79,836 around the amount of fees collected. The alternative Professional and Civil Engineers 104,050 362,717 to this is to seek frequent legislative approval of Collection Agency 12,882 8,750 changes in the fee schedules. Contractors' 1,555,139 186,784 It is of interest to note that in many states licensing Board of Cosmetology 556,745 900,420 programs are financed from general fund appropria- Dental Examiners 242,267 137,290 Dry Cleaners 281,506 590,406 tions and fees collected accrue to the general fund.⁸ Electronic Repair Dealer 234,056 232,216 Recommendations Funeral Directors and Embalmers 22,522 113,448 Furniture and Bedding 43,252 476,045 1. All licensing programs should be financed from Landscape Architects 44,344 19,529 the general fund and all fees collected deposited Bureau of Marriage Counselors 25,031 16,411 to the credit of that fund. Medical Examiners 2,185,241 1,198,399 2. Fees should be set by the legislature at a level Registered Physical Therapists 38,911 28,886 Licensed Physical Therapists 33,999 19,557 adequate to meet all program costs, except where Nursing Education 237,469 170,637 such would place an undue hardship on a li- Optometry Board 48,822 108,435 censed group. Osteopathic Examiners 11,736 12,553 Pharmacy Board 285,368 100,765 As noted above, these recommendations are not offered as a means of increasing State revenues al- Private Investigators and Adjusters 105,054 70,322 Certified Shorthand Reporters 60,695 86,675 though there would be a one-time transfer to the Social Work Examiners 30,919 30,597 general fund of 6 or 7 million dollars. In those in- Structural Pest Control 39,217 9,656 stances in which special fund surpluses are now build- Veterinary Medicine 60,280 15,295 ing up, or where more efficient operating procedures Vocational Nurse Examiners 155,205 317,940 are possible and proposed, present license fees could Psychiatric Technicians 67,786 69,591 be reduced. Yacht and Ship Brokers 44,669 37,430 7. The next major study of this Commission will be concerned Totals (All funds) 7,435,143 5,993,656 with this subject on a state-wide basis. 8 New York, Illinois, Ohio, Wisconsin, Iowa, Delaware, Florida, Georgia, New Jersey, Rhode Island, and Utah. 24 AN EXAMINATION OF THE IV. RECOMMENDATIONS AFFECTING INDIVIDUAL LICENSING BOARDS Many of the general recommendations appearing there is no substantive difference between this and in the preceding report section apply to all present the regular barber category in terms of provid- licensing boards and need no further interpretation. ing a protection to the public. Others have particular pertinence or applicability to 4. Reciprocity should be extended to barbers pos- specific boards or require interpretation in light of sessing valid licenses issued by other states hav- present organizational arrangements and operating ing standards comparable to California's. practices. In some instances, exceptional circumstances 5. The program of fixing minimum prices for barber suggest the need for flexibility in the manner in which services should be discontinued as being contrary general proposals or criteria are applied. These are to the public interest. set forth below.¹ 6. The possibility of discontinuing the expensive State Board of Accountancy program of periodic, routine, inspections of bar- ber shops should be explored and the alternative 1. The investigative staff of this Board should be of sanitary inspections-should these be neces- transferred to the Division of Investigation. Al- sary-by city and county health departments though certain of the investigations performed considered. require a knowledge of accounting, this is also true of investigations conducted for several Cemetery Board other licensing boards. A pooling of these spe- cially qualified personnel in the Division of In- 1. The Cemetery Board should be combined with vestigation would permit their more effective the Board of Funeral Directors and Embalmers. utilization. 2. The license category of Cemetery Salesman 2. Consideration should be given by the Board of should be discontinued. The examination is mean- Accountancy to the possible need for state li- ingless and Cemetery Brokers are or can be held censing of persons performing tax consulting and responsible for the acts of their sales personnel. bookkeeping services for the public. 3. The field auditor position on the Board staff should be transferred to the Division of Investi- State Board of Architectural Examiners gation. 1. Consideration should be given to broadening the base of representation on the Board to include a State Board of Chiropractic Examiners General Contractor and a Structural Engineer. Because this Board was created by initiative meas- 2. The investigative staff of the Board should be ure and can thus be changed only by vote of the transferred to the Division of Investigation. people, no recommendations are made herein. 3. The experience qualifications for candidates for the Architect license, and their interpretation, Board of Registration for Civil and Professional Engineers should be reviewed. These appear unduly re- 1. Consideration should be given to broadening the strictive when compared with requirements for base of representation on the Board to include entry into other professions. a General Contractor and an Architect. 4. In light of the wide variations in the pass-fail 2. The investigative staff of the Board should be ratios on different examination sections, an ex- transferred to the Division of Investigation. pert review of examination content should be 3. Reciprocity should be extended to presons with made to the end of seeking greater equity. current valid registration in other states having State Athletic Commission comparable standards; the present oral examina- No special recommendations. tion requirement should be dropped. 4. In light of the wide variations in the pass-fail Board of Barber Examiners ratios among the examinations for the several 1. The use of Board members in a full-time capac- engineering specialties, an expert review of ex- ity as examiners should be discontinued and re- amination content should be made to the end of quired examination personnel engaged as staff. seeking greater equity. 2. Consideration should be given to combining the Board of Barber Examiners and the Board of Collection Agency Licensing Bureau Cosmetology. 1. The status of this Board should be changed from 3. Consideration should be given to discontinuing advisory to regulatory and the membership al- the Apprentice Barber license category in that tered SO that a majority of the members are taken from outside the industry. 1 Somewhat detailed accounts of the present organization and activities of each of the existing licensing agencies in the 2. The investigative or audit staff should be trans- Department are contained in Part II-Present Activities of Licensing Boards. ferred to the Division of Investigation. DEPARTMENT OF PROFESSIONAL AND VOCATIONAL STANDARDS 25 Contractors' State License Board State Board of Dry Cleaners 1. The Contractors' State License Board should be This Board and licensing program should be abol- combined with the Structural Pest Control ished. The program offers no significant public protec- Board. tion and as such constitutes an unwarranted inter- 2. Consideration should be given to broadening the ference by state government into an ordinary private base of representation on the new board to in- business activity. Should this recommendation be ac- clude an Architect and a Structural Engineer. cepted, the State should notify local government ac- 3. The more than 90 specialty and limited specialty cordingly SO that they could consider whether or not license categories should be reviewed by the board they wish to initiate a local inspection program. and department with a view to reducing the Bureau of Electronic Repair Dealer Registration number. Such narrow specialization increases ad- ministrative costs and cannot be justified in terms The need for continuing this licensing activity is of the public interest. questioned. The program appears to have accom- plished its original purpose of sharply reducing fraud- 4. The Board, rather than the Registrar as at pres- ulent practices, for very few offenses are now being ent, should receive and act upon proposed de- discovered. Should the recommendation for eliminat- cisions of hearing officers resulting from cases heard under the Administrative Procedure Act. ing this bureau be accepted, the State should notify local government accordingly SO that they could con- 5. The Board's inspectional and investigative staff sider whether or not they wish to initiate a local in- should be transferred to the Division of Investi- spection program. gation; the informal "conciliation" service now provided between complainants and licensees is Board of Funeral Directors and Embalmers an excellent one and should be continued. 1. This Board should be combined with the Ceme- 6. A thorough study should be made by the Board tery Board. and Department of present bonding requirements 2. The staff position of attorney should be abolished -both the initial $1,000 bond and the penalty and the Board obtain legal services from the De- bond. It is doubtful if either the public or the partment and the Attorney General. licensee is now adequately protected. 3. The one-year apprenticeship requirement (in California) for embalmers licensed by other Board of Cosmetology states as a pre-condition of taking the California examination should be abolished. This provision 1. Consideration should be given to the merging of is unique among the professional and vocational this Board with the Board of Barber Examiners. categories. 2. Reciprocity should be extended to persons having 4. Reciprocity should be extended to persons having current valid licenses issued by other states with current valid licenses issued by states with stand- comparable standards. ards comparable to California's. 3. The possibility of discontinuing the expensive Bureau of Furniture and Bedding Inspection program of periodic, routine, inspections of cos- 1. Consideration should be given to abolishing the metic establishments should be explored and the licensing program and assigning the true-label- alternative of sanitary inspections-should these ing enforcement responsibilities to the proper be necessary-by city and county health depart- state authority. ments considered. 2. To the extent that health protection matters are 4. The present practice of scheduling formal hear- involved, these should be made the responsi- ings for license applicants who apparently do not bility of appropriate health authorities. meet the "good character" requirement without Board of Landscape Architects first giving the applicant an opportunity to with- The Board of Architectural Examiners should be draw his application should be discontinued. requested to determine whether or not a need exists Board of Dental Examiners for the qualification licensing of landscape architects as opposed to the present title-only licensing. If such 1. The national examination-now recognized in need for qualification licensing is found, this licensing more than 40 states-should be used in Califor- function should be made the responsibility of the nia and reciprocity granted. The present practice Board of Architectural Examiners. of Board members constructing, administering, and grading examinations places an undue, and Marriage, Family, and Child Counselor Licensing unnecessary, work load on them. This Board and licensing program should be dis- continued. It does not provide an essential protection 2. The staff position of attorney should be abolished to the public, the enforcement program being largely and the Board obtain legal services from the De- one of preventing non-licensees from using the title. partment and the Attorney General. This type of counseling is performed by many per- 3. The investigative staff of the Board should be sons and groups-e.g., ministers, attorneys, social transferred to the Division of Investigation. workers, and personnel of charitable organizations- 26 AN EXAMINATION OF THE who are not and need not be licensed. Should the 3. Reciprocity should be extended to licensees of program be continued, it should be combined with the other states having standards comparable to social worker registration program. California's. Board of Medical Examiners 4. The present code restriction on the number of branch offices a licensee can own and operate 1. To reduce the amount of time members must should be removed. This does not offer any devote to Board activities, increased use should added protection to the public. be made of technical staff and "examinations commissioners" in the preparation and admin- Board of Pharmacy istration of examinations, even if additional ad- 1. Consideration should be given to the inclusion ministrative costs are involved. of a licensed Physician and Surgeon on the 2. The code provisions for the licensing of psy- Board of Pharmacy. chologists should be amended to give the Board 2. The alternative of using technical staff to pre- of Medical Examiners specific authority to re- pare and administer written examinations, ject or modify recommendations made by the rather than board members, should be adopted. Psychology Examining Committee. At present 3. The inspectional staff of the Board should be the Board has responsibility for the Committee's reduced and greater use made of the Division actions but lacks authority to influence them. of Investigation in the pharmacy inspection pro- 3. The two groups of Registered Physical Thera- gram. Several licensed pharmacist could be re- pist and Licensed Physical Therapist should be tained on the staff to perform selected inspec- merged into one category under the continued tions and investigations where professional jurisdiction of the Board of Medical Examiners. knowledge is essential. 4. The examination given by the National Board 4. Reciprocity should be extended to licensees of of Podiatry Examination should be used in Cali- other states having standards comparable to fornia and reciprocity extended to persons li- California's. censed in other states having requirements com- parable to those of California. Certified Shorthand Reporters Board Board of Nursing Education and Nurse Registration Consideration should be given to abolishing this Board and licensing program as not providing an 1. The jurisdiction of this Board should be ex- essential protection to the public generally. tended to include the licensing of vocational nurses, as now administered by the Board of Board of Social Work Examiners Vocational Nurse Examiners. Either a Voca- This Board and licensing program should be dis- tional Nurse Examining Committee should be continued. It does not provide an essential protection created, advisory to the Board of Nursing Edu- to the public, the enforcement program being cation and Nurse Registration, or the group largely one of preventing non-licensees from using should be given direct representation on that the title. Were the program to be continued, it should Board. be combined with the marriage, family, and child 2. At least one member of the Board should be a counselor licensing activity. licensed Physician and Surgeon. 3. The Board should be given clear jurisdiction Structural Pest Control Board over state licensing of all categories of nursing This Board should be combined with the Contrac- personnel. Consideration as to what new sub- tors State License Board. groups might require licensing in the future should be the initial responsibility of this Board. Board of Examiners in Veterinary Medicine State Board of Optometry No special recommendations. 1. This Board should be reconstituted as an exam- Board of Vocational Nurse Examiners ining committee under the Board of Medical The licensing program of the Board of Vocational Examiners or, alternatively, its membership re- Nurse Examiners should be placed under the Board vised to include at least one Ophthalmologist. of Nursing Education and Nurse Registration. The 2. The examination composed by the National category of Licensed Vocational Nurse should be Board of Examiners in Optometry should be continued. used in California-in preference to the present practice of board members preparing and ad- Yacht and Ship Brokers Commission ministering a separate examination.² Consideration should be given to abolishing this Board and licensing program as not providing an 2 During the course of the study, it was reported that the deci- sion was made to use the national examination. essential protection to the public generally. PART II-PRESENT ACTIVITIES OF LICENSING BOARDS STATE BOARD OF ACCOUNTANCY candidates pass the entire examination on their first Functions attempt; 40 per cent pass at least one part. Approx- The State Board of Accountacy was created by imately 16 per cent of all candidates finally pass all sections each time the examination is administered. the Legislature in 1901 specifically to examine, license, Applicants who have taken the examination in an- and regulate the conduct of Certified Public Ac- countants. In 1945 the function of the Board was other state need not retake it in California, provid- expanded to license Public Accountants for a limited ing they meet all other California requirements. period. Licensing of Public Accountants was closed in Since a small proportion of applicants pass the 1946 and reopened for short periods in 1947, 1949, examination on their intital attempt, no background investigation is made of candidates for the examina- 1953, and 1955. No Public Accountants have been tion. When a candidate finally completes the exam- licensed since December 31, 1955, but the remaining 14,000 licenses are renewable. The number of licensed ination and applies for a license, a thorough back- ground investigation is then performed. The staff Certified Public Accountants is currently 12,000. Al- routinely recommends approximately 60 per cent of though the initial qualifications of Public Account- ants and Certified Public Accountants are different, such applicants to the Board for approval, the re- maining 40 per cent being admitted to the CPA both are licensed to perform the same functions. Qualification Committee for review. The Committee's Organization primary function is to evaluate the education and experience of applicants. It may recommend to the The Board is comprised of eight members ap- Board that an application be denied, in which case pointed by the Governor for four-year overlapping the applicant may appeal to the full Board. The law terms. Five members must be CPA's, two PA's, and does not provide that the denied candidate has a the eighth a public member. The Board is required, by right to an administrative hearing, although in prac- law, to appoint a Secretary-Treasurer and two com- tice the Board does grant such hearings. mittees-the Certified Public Accountant Administra- tive Committee and the Public Accountant Adminis- Enforcement trative Committee. These two five-member committees Most disciplinary actions result from improper are empowered to investigate complaints involving the statements by licensees in the opinion section of trans- conduct of their respective licensees. The Board has mittal letters accompanying financial statements. also appointed a seven-member Certified Public Ac- Such cases, which involve a question of professional countant Qualifications Committee. This Committee, conduct or ability, are referred first to either the composed exclusively of CPA's, reviews the qualifica- PA or the, CPA Administrative Committee. These tions and experience of applicants for licensure to determine that all meet the Board's standards. The Committees review each case and, as a final action, may simply explain to the licensee the nature of his staff consists of 12 employees including an Executive error. In more serious cases the committees recom- Secretary and two special investigators. mend an administrative hearing to the Board. Licensing Prior to establishment of the Division of Investiga- tion, the Board had six full-time investigators. It Since the Board no longer licenses Public Account- now has two full-time investigators of its own, the ants, its principle activity is now the licensing of justification being that many investigations require CPA's. As a subsidiary duty the Board approves the a special competence in accounting. Formal investi- formation of CPA and PA partnerships and the use gations may result from complaints from clients, of fictitious names by accounting firms. other accountants, professional associations, and other The basic qualifications for licensure as a CPA are: sources. age 21, citizenship or declaration of intention, good moral character, graduation from a four-year college STATE BOARD OF ARCHITECTURAL EXAMINERS with a major in accounting or the equivalent, and Functions at least three years of public accounting experience. Candidates may apply for and take the examina- The Board of Architectural Examiners licenses ar- tion prior to completion of the necessary experience chitects and building designers and otherwise en- and if successful, may be granted a license after forces the provisions of Business and Professions completion of the required experience. Code governing the practice of architecture. The Board uses a standardized examination com- posed and graded by the American Institute of Pub- Organization lic Accountants and used by all fifty states. The The Board is comprised of nine members of whom examination is divided into four sections with a pass- six are architects, two building designers, and one the ing score of 75 being required on each section. A public representative; all are appointed by the Gover- candidate need not, however, pass the entire exam- nor for four-year staggered terms. A Building De- ination at one sitting; conditional credit is given for signers Qualifications Committee, having as members sections passed. In fact, only two per cent of all three architects and three building designers, deals (27) 28 AN EXAMINATION OF THE with the registration of this group, its decisions example, working for a governmental agency- being subject to Board approval. The Board meets on from qualifying. A deadline was set, and later ex- an average of six times per year in regular session tended to June 1, 1965, for persons applying for and several times a year for the conduct of exam- registration. The above-mentioned Examining Com- inations or hearings. It is a policy and decision- mittee processed the applications, recommending for making body. The Board's staff includes the Execu- or against registration to the Board of Architectural tive Secretary, two special investigators, and three Examiners. This process was completed with 1,300 office employees. persons registered and there is no new entry into the group. The Act further provides that a Registered Licensing of Architects Building Designer with eight years of approved ex- To qualify for a "certificate" as an architect, a perience may apply for an architect's certificate, and person must possess eight years of training and edu- request waiver of the examination other than the cational experience in architectural work, be of good structural design section. The Examining Committee character, and pass an examination. Graduation from now has before it several such requests but has not a school of architecture accredited by the National as yet undertaken their processing. The Act also re- Association of Accreditation Boards is credited as quires that the Registered Building Designers must five of the eight years.⁷ This is not a requirement al- apply for the architect certificate by the year 1971 at though the great majority of applicants have this which time their present registration program will educational preparation. Experience to be counted be discontinued. as qualifying must have been in the office and under Building Designers are required by law to associate the supervision of a practising architect. This is eval- with a registered civil or structrual engineer or li- uated by the Board staff and all questionable ap- censed architect in the design of certain types of plications referred to the Board. Accompanying each structures. application are evaluations made by the architects under whose supervision the applicant has been work- Enforcement ing. The experience must include all major aspects The law does not require that a person be licensed of professional practice. or registered to practice architecture. Civil and struc- The examination is in seven parts, five of which are tural engineers may do anything an architect does prepared by a national board and graded by the other than identify themselves as architects. A non- Educational Testing Service, Princeton, New Jersey. licensed person may design specified types of build- The remaining two parts which cover structural ings or alterations, including most single-family design and site development are prepared by the dwellings. Local building codes frequently impose California Board and used in twelve western states. additional or special requirements in this regard as An applicant can take certain sections of the exam- do laws concerning public buildings. Close coopera- ination after meeting five of the eight years of edu- tion is maintained between the Board staff and local cation. He is given credit for each section passed building code enforcement agencies on matters of and can re-take the sections failed as many times as common interest. he wishes. The per cent passing an individual section Formal disciplinary proceedings against licensees varies from perhaps 35 to 60. In the fiscal year 1965- are infrequent. The code lists a number of causes for 66 there were 700 failures in 1,600 examinations. discipline such as conviction of a felony in connection Probably not more than 20 per cent of the appli- with the practice of architecture, fraud, negligence, cants pass all of the sections taken at one time. A re- incompetence, and SO on, but in the past four years view of applicant performance on recent examina- only one case of this nature has gone through a tions revealed that graduates of accredited schools formal hearing under the Administrative Procedure did much better than other groups and out-of-state Act. Complaints are investigated by the two staff applicants generally scored higher than those from investigators and generally dealt with by the Board within the state. by issuance of a kind of warning letter-reportedly, There are now 5,000 licensed architects in Califor- compliance is quickly achieved. During the fiscal year nia and roughly 300 new certificates are issued an- 1965-66, some 145 cases involving violations were nually-more than in any other state. S0 resolved. The few instances of serious violations is in part Registration of Building Designers attributable to the close controls imposed by local A 1963 Act of the Legislature provided for the building code enforcement agencies. Complaints relat- registration of persons who had for the previous five ing to performance of architects in such matters years been actively engaged in the design of build- as contract fulfillment are not a matter for Board ings as a principal means of livelihood and who action. possessed the equivalent of at least three years of in- dependent practice in the State. This latter require- STATE ATHLETIC COMMISSION ment prevented many persons who had been doing Background building design work but not independently-as, for Prior to World War I, boxing matches were banned 7 There are now three accredited schools in California-Univer- in California but a referendum measure-backed sity of California, University of Southern California, and California Polytechnic Institute. largely by veterans' organizations-legalizing boxing DEPARTMENT OF PROFESSIONAL AND VOCATIONAL STANDARDS 29 and creating the State Athletic Commission passed fenses as gambling and fraud. This is more a regis- in 1924. A 1921 constitutional amendment gave the tration than an actual licensing process, the purpose Legislature authority to modify in any way the 1924 being the screening noted above and to be able to find measure. The purposes of the state supervision of the the people when misconduct is charged or takes place. boxing business are to protect the participants The registration fee for most categories is $5. (boxers) and to prevent practices apt to attend events Approval and Supervision of Boxing Matches. on the outcome of which there is considerable gam- Each program (a night of boxing events) must be ap- bling. proved in advance by the Commission staff. Special Functions forms are provided on which the promoter must iden- tify himself, his license, the time and place, the con- The Athletic Commission exercises close surveillance testants in the various events, their managers, ar- over boxing matches and, to a lesser extent, wrestling rangements for dividing the purse, the weight of the exhibitions, and licenses organizations and persons in fighters, and SO on. The Commission staff reviews these any way connected with these. applications, verifying the fact that they involve peo- ple who properly are licensed and that the boxers in Organization the several events are reasonably well-matched. The Commission is comprised of five members ap- Members of the staff or experienced persons en- pointed by the Governor for four-year overlapping gaged on a per-evening basis attend every boxing terms. Members serve without compensation and need event in the State. The inspector performs a number not have any specific qualifications for appointment. of functions at the scene: he watches the preparation (The present Commission members include a physi- for the fight, checks the box office tickets, assures him- cian, an attorney, and three men with business back- self that the men who are in the ring are the same grounds.) The Commission adopts rules and reg- ones who are listed on the advance notice, sees that the ulations, grants exceptions thereto, appoints an proper officials are there and the regulations observed, Executive Officer, approves the budget, and hears and at the conclusion of the evening verifies the box complaints and appeals from actions taken by the office sales and determines the amount of tax due the staff. The staff, consisting of an Assistant Executive State. The State receives five per cent of the gate and Officer, a Chief Inspector, two Assistant Chief Inspec- five per cent of all radio and television income. tors, one Investigator, one typist clerk, and three Supervision of Wrestling. The Athletic Commis- stenographers headed by the Executive Officer, carries out the policies and enforces the rules set by the Com- sion also exercises supervision over wrestling, al- mission. though the degree of control is not comparable with that over boxing. The law specifically precludes Activities wrestling exhibitions being called contests or matches, stating: Licensing of Clubs and Promoters. Anyone who sponsors a boxing match, either as an organization or "18607. As used in this chapter, 'wrestling as an individual, must obtain a license from the Com- exhibition' means a performance of wrestling mission. An examination is not required but the ap- skills and techniques by two or more professional plicant must show good character and financial re- wrestlers, to which any admission is charged or sponsibility. The fee is $25 to $100 depending on the which is broadcast or televised, in which the par- size of the city in which the match is held, and bonds ticipating wrestlers are not required to use their must be posted-a $2,000 licensing bond, a bond in best efforts in order to win, and for which the the amount of the capacity of the house to cover possi- winner may have been selected before the per- ble refunds, and a bond of 75% of the capacity to formance commences." cover payment of contestants. The wrestlers must obtain a license, but they do not Licensing of Boxers. To be licensed a boxer must need the same kind of protection a boxer does in that be of good character, meet certain medical standards, they are rarely injured and are not ordinarily young and know his trade. The latter is determined by the persons susceptible to exploitation. Others connected man's fight record or by observation by a person des- with wrestling events are also licensed, or registered, ignated by the Commission staff, e.g., a licensed ref- but no examinations are given. eree. In general, California's standards are higher than those of other states. The license fee is $5. BOARD OF BARBER EXAMINERS Functions Licensing of Others. Managers and referees are licensed by the Commission. Good character and suc- The Board of Barber Examiners licenses barber col- cessful completion of an examination covering the law leges and instructors, barber shops, and apprentice and rules and regulations of the Commission are re- and master barbers. It also sets minimum price sched- quired. Practically all other persons connected with ules, county by county, on petition of the licensed prize fighting - matchmaker, second, announcer, barbers. trainer, timekeeper, and box office personnel-are li- censed, but without examination. Applicants are Organization screened as to good character by the staff securing a The Board is comprised of five members, four of rap sheet; particular attention is given to such of- whom must be licensed barbers and the fifth a public 30 AN EXAMINATION OF THE member. Three board members are employed on a routinely check the licenses of the barbers working full-time salaried basis and serve as examiners.⁸ Ap- in each shop-there are code limitations on the ratio pointment is by the Governor for four-year terms with of apprentice barbers to master barbers. Failure to a limit by law of three consecutive terms. The Board sterilize instruments and use of the same towel on meets on an average of once a month setting policy, more than one person are among the more common fixing minimum price schedules, conducting discipli- sanitation violations; lack of cleanliness usually takes nary action, and hearing various complaints. Staff the form of unmopped floors, need for paint, and SO work is performed by a secretary, who is also a li- on. The Board, as a matter of policy, would like each censed barber, and nine office employees. shop to be inspected four times a year. In practice the frequency of inspection is two to three times Licensing of Barbers annually. The requirements for an apprentice barber license The inspector prepares a report of inspection which are the equivalent of a ninth grade education, gradua- the owner of the shop signs and receives a copy. The tion from a barber college-a course of study and inspector may issue a notice of violation and follow practice of approximately six months-and passage up to see that the infraction is corrected. If reason- of an examination which includes written, perform- able progress is not made, formal disciplinary meas- ance, and oral interview sections. To obtain a master ures may be taken, either locally through the District barber license the applicant must have at least 18 Attorney or through the State Board. Cases of a months' experience as an apprentice working under a serious nature are sent to formal hearing under the master barber and pass a written examination which Administrative Procedure Act, the Board normally tests knowledge of the barber code and shop manage- sitting with the hearing officer. ment and a performance examination. There are numerous complaints of persons cutting A student on enrolling in a barber college must hair without a license, usually in their homes, or of register with the Board which seeks to establish his licensed barbers performing work other than in the "good character. If he is found to have been con- barber shop where standards of sanitation cannot be victed of certain offenses, e.g., use of narcotics or maintained. Where these situations are found, the crimes involving moral turpitude, he may be dis- investigator seeks corrective action either directly or qualified at this point, depending on the circum- through the District Attorney. stances. During the 1965-66 fiscal year, approximately 1,700 Out-of-state applicants are allowed to take the complaints were investigated and disciplinary action master barber examination if they produce evidence was taken in 174 instances (43,000 licensees). In of having been licensed elsewhere for a period of at nearly all cases the Board ordered supsension of the least two years. license for a specified period of time. Licensing of Barber Colleges Setting Minimum Prices Anyone wishing to open a barber college must sub- According to the law, if 75 per cent of the barbers mit an application to the Board setting forth such in- in a county petition the Board to set a scale of mini- formation as: location, physical plan of the facility, mum prices for the county it will do SO. If this has the population in the service area (according to the already been done, the Board will review and readjust law, a college can be authorized for each 500,000 of the schedule on the request of 51 per cent of the population in a county, or 150,000 in a city), financial barbers. In this process the Board first causes a cost ability, the need for the college in the particular area study to be made over a period of 30 days in which in terms of number of barbers required, availability of the shops maintain records of income and costs. The students, a certification that the opening of the col- Board then holds a public hearing in the county, lege would not have an adverse effect on the business usually attended by at least a quorum of the board, in barber shops in the area, and, finally, that there are but on occasion only by a single member. Any persons a sufficient number of students interested in enroll- wishing to appear at such a hearing are heard, fol- ing. The application is reviewed by the staff for com- lowing which the Board establishes the minimum pleteness and then referred to the Board of Examin- prices for that county. At present, nearly all of the ers. The Board, after conducting a hearing at which counties in the state have come under this provision. the applicant appears and is questioned, either grants Reportedly, shops in most counties charge above the or denies the application. There are approximately 25 minimum scale. The only restriction is that they can- licensed barber colleges in the State; tuition averages not drop below it. $325 to $350 for a six-month course. CEMETERY BOARD Enforcement Function In enforcing the barber code a regular program of barber shop inspection is carried out by the Division The Cemetery Board regulates and licenses ceme- of Investigation. The inspectors are primarily inter- teries, cemetery brokers, and cemetery salesmen, regu- lates endowment care trust funds and administers the ested in matters of sanitation and cleanliness but also laws relating to mausoleum and columbarium con- 8 The Chairman (full-time) receives an annual salary of $8,900, the two full-time members $8,400, and the Secretary $12,096. struction. DEPARTMENT OF PROFESSIONAL AND VOCATIONAL STANDARDS 31 Organization truthfulness, and good reputation. Renewal and The Board is comprised of six members appointed original issuance fees are $10. There are approxi- by the Governor and confirmed by the Senate for mately 1,200 currently licensed salesmen. four-year staggered terms. Five members must have Written examinations for both cemetery brokers had five years of experience in cemetery manage- and salesmen include knowledge of the English lan- ment immediately preceding their appointment; the guage and elementary arithmetic, an understanding sixth is a public member. The Board is required by of cemetery associations and corporations and ceme- law to meet twice annually but in practice meets on tery operations, care and preservation of endowment an average of four times each year alternating insofar care and trust funds, and an understanding of as possible between Northern and Southern California. cemetery brokerage practice including business ethics The staff consists of an Executive Secretary, a Field and the pertinent provisions of the Cemetery Act. Auditor, and two clerical personnel. Endowment and Special Care Funds (Trust) Licensing The statues specify the amount which must be de- Certificates of Authority. To operate a cemetery, posited to establish an endowment care fund and the a corporation must make application to the Ceme- minimum amounts to be deposited for each grave, tery Board for a Certificate of Authority and must crypt, or niche sold or disposed of. The fund is ad- show it is in a position to commence operation of a ministered by trustees and must be invested in ac- cemetery. Fees consist of a $100 regulatory charge, cordance with the provisions of law with the income a $200 initial filing fee and an additional filing fee used only for the care and maintenance of the ceme- with a maximum of $300 based upon time spent in tery. An annual report is required, plus an inde- investigation of the application. The staff of the pendent audit by a certified public accountant. The Board investigates the physical site, plans, specifica- staff of the Board reviews these reports and audits tions, and financing of the proposed cemetery; the and makes such investigations as it deems necessary character of the applicant, including its officers, di- to secure compliance with the statutes. rectors, shareholders, or members; compliance with Mausoleum and Columbarium Construction all laws, rules, regulations, ordinances, and orders applicable to it, and makes a recommendation to the The staff of the Board works with local building Board. The Board calls the applicant to appear officials to insure compliance with the construction before it for questioning and determines whether or requirements for mausoleums and columbariums to not the applicant qualified. Renewal fee consists of insure uniform, permanent, and durable construction. $100 regulatory fee and $.15 for each interment made during the preceding calendar year. The are approx- Enforcement Activities imately 180 licensed cemeteries, with several new li- Examinations of trust funds are conducted by the censes granted annually. Board staff, trained in accounting, and investigations Cemetery Brokers. The Board issues three types are made concurrent with these examinations. In- of cemetery brokerage licenses corporation, partner- vestigations and disciplinary hearings commonly in- ship, and individual. In the case of a corporation volve alleged violation of the cemetery brokerage pro- or partnership application, one or more of the of- visions-e.g., misrepresentation in selling of plots- ficers or partners must qualify in the same manner and the improper investment or mishandling of trust as an individual applicant. Requirements include funds. All such hearings are conducted under the proof of honesty, truthfulness, and good reputa- provisions of the Admininstrative Procedure Act tion, two years' licensing as a cemetery salesman with the members of the Board sitting with the Hear- or two years' general cemetery experience, and suc- ing Officer. In fiscal year 1965-66 five such hearings cessful completion of a written examination. The took place, resulting in one license suspension. Serv- original license fee is $100 and annual renewal $75 ices of the Bureau of Investigation are not used, for all individuals and the first licensee of any corpo- the Board staff doing the investigative work along ration or partnership. If a corporation or partner- with the trust fund examination activity as noted ship has more than one agent named, $25 is charged above. for each additional agent. Surety Bonds are required for all licensees except a corporation which also holds STATE BOARD OF CHIROPRACTIC EXAMINERS a certificate of authority. There are approximately Function 138 licensed cemetery brokers and 26 licensed ceme- Created in 1922 by an initiative measure, the tery broker branch offices. Board of Chiropractic Examiners licenses persons Cemetery Salesmen. A cemetery salesman to be to engage in the chiropractic profession and accredits licensed must be in the employ of a licensed cemetery chiropractic schools. broker who is responsible for his activities as a ceme- tery salesman. A non-renewable temporary license Organizations good for a period of three months is issued after a The Board is comprised of five members appointed preliminary check. A regular license is issued after by the Governor all of whom are licensed chiroprac- a further character check and passage of a written tors. The staff consists of a Secretary, appointed by examination. Applicants must show proof of honesty, the Board, and three office employees. 32 AN EXAMINATION OF THE Licensing classifications of civil, mechanical, electrical, chem- Applicants for a license must be graduates of an ical, petroleum, metallurgical, structural, land sur- accredited school of chiropractic medicine which veyor, and engineer-in-training. It maintains a cur- teaches a course of 4,000 hours (equivalent of 36 rent register of licensed persons and enforces code months) covering certain specified subjects. An ex- provisions and regulations governing professional amination, prepared, administered, and graded by conduct and activity. members of the Board, is given twice yearly. Approx- Organization imately 30 to 25 per cent of the applicants taking recent examinations failed to achieve passing grades. The Board is composed of nine members, seven of Licenses are issued persons from out-of-state if their whom-by code provision-must be registered engi- qualifications equal California standards and their neers, one a licensed land surveyor, and one the pub- state of residence extends reciprocity to California lic representative. The Board makes extensive use of licensees. committees having from one to several members. The The bases for denial of applications are essentially full Board normally meets monthly, alternating be- the same as for most other licensed professions— tween Northern and Southern California, and per- misrepresentation, offenses involving moral turpitude, forms the functions of setting qualification standards habitual intemperance, etc. for examinations, reviewing the make-up of exami- There are at present approximately 5,000 licenses nations, acting on applications, interviewing ap- in effect. plicants, conducting oral examinations, grading and reviewing examination papers, and setting various Accrediting of Schools kinds of rules and regulations consistent with legisla- There are only two accredited schools in the tive provisions. it hires the Executive Secretary and State. The Board has adopted very specific and de- reappoints him from year to year for one-year tailed regulations to be observed by the schools and periods. exercises continuing supervision over their operation. The staff totals 32, including clerical personnel, specialized personnel engaged in the preparation and Enforcement grading of examinations, and six full-time investiga- The Chiropractic Act and Board rules developed tors. The Executive Secretary is responsible to the thereunder list a number of grounds for disciplinary Board for the supervision of all staff activities. action and in some instances prescribe the limits of Registration authorized penalties. Of special concern are false or misleading advertisment, use of the title of Doctor Civil engineers and land surveyors, with certain without indicating chiropractic, and engaging in specific exceptions, must be registered or licensed to treatment techniques-e.g. prescribing drugs-out- practice their profession in the State. Those in other side the chiropractic field. engineering categories are not required to be regis- The Board uses the services of the Division of In- tered, but if they are not registered they are pro- hibited from formally identifying themselves as vestigation and observes the Administrative Proce- dure Act. In the 1965-66 fiscal year 93 complaints 'consulting engineer,' professional engineer,' "in- dustrial engineer," chemical engineer," and the were received, 62 investigations conducted, 12 hear- like. ings held, and 4 licenses revoked. The more common of the serious complaints involved alleged morals Examinations are given at approximately eight- offenses and abortions. month intervals for registered engineers and midway between each such examination one is given for engi- BOARD OF REGISTRATION FOR neer-in-training. The only qualifications for registra- CIVIL AND PROFESSIONAL ENGINEERS tion as an engineer-in-training are to be of good moral character and to pass the examination. To register as Background a professional engineer, one must have six years of The first legislation providing for the registration experience acceptable to the Board and pass an exami- of engineers, which dealt only with civil engineers, nation. Although the engineer-in-training certificate is was enacted in 1929. Chemical, electrical, mechan- counted as the equivalent of four years of education ical, and petroleum engineers were added in 1948 or experience, the Board normally requires that an ap- and metallurgical engineers in 1965. Authority to use plicant have three years of experience after receiving the title "Structural Engineer" was restricted in his EIT registration. 1933 to registered civil engineers who passed a sepa- Examinations are prepared by outside experts hired rate examination in this specialty. Land surveying by the Board on a per diem rate of $40 to $50. They licensing was transferred to the Board from the Sur- are engineers and land surveyors who may be work- veyor General in 1929. ing for a state agency or private firm, are self em- ployed, or teaching in a university. Normally, several Functions are asked to contribute portions of one examination, The Board in administering the Civil and Profes- each performing in the area of his particular specialty. sional Engineers' Act and the Land Surveyors' Act These questions come to the staff of the Board for re- examines and licenses professional engineers in the view and possibly modification and are then sent to the DEPARTMENT OF PROFESSIONAL AND VOCATIONAL STANDARDS 33 Board where the members of the Board individually, Board in 1929 and then transferred to the Secretary according to their field of specialization, study and of State's office in 1937. At this time there was an pass on the questions. autonomous policy-making board made up of indus- The following figures are approximations of how try representatives. In 1957 a Senate Committee be- many applicants take each examination: gan a study of the licensing board and determined that EIT 3,000 the Agency's enforcement program was ineffective- Civil 1,800 only three accusations were filed by the licensing Mechanical 500 board against licensees during the entire period 1937- Electrical 300 1959. As a result of the Senate committee's recom- Structural 175 mendations the collection agency licensing function Chemical 50 was completely reorganized by the Legislature in 1959. Petroleum 16 Functions Land Surveyors 250 The Collection Agency Licensing Bureau grants li- The application fee for the EIT examination is $25 censes to collection agency offices and grants permits and $40 for professional engineer, plus a $14 biennial for individuals to work in the industry. The Bureau renewal fee for the engineer's certificate. also promulgates and enforces detailed regulations The experience requirements for land surveyors are governing the relationships between collection agen- similar to those for civil engineer, one noteworthy dif- cies and both debtors and their client creditors. ference being that a land surveyor must be a U.S. citizen. Organization To be granted authority to use the title "Structural The bureau is an administrative division of the De- Engineer, a person must have been a registered civil partment of Professional and Vocational Standards. engineer for at least three years and pass an addi- It is headed by a Chief who is appointed by the Gov- tional examination. ernor and reports directly to the Director of the De- The Board maintains a complete roster of all regis- partment. The law provides that the Director may tered engineers and licensed land surveyors, and pub- delegate all of his related powers to the Chief except lishes this annually in book form. An engineer or land the authority to adopt or act upon the decisions of a surveyor is required, in certain situations, to show his hearing officer after a hearing under the provisions of number on documents, survey monuments, and the the Administrative Procedure Act. like. There is also a six-member Collection Agency Ad- Enforcement visory Board. The members are appointed for four- year overlapping terms by the Governor and serve When a person who is registered with the Board is without compensation. One member must represent the reported to have acted in an illegal manner, the Exec- public and the other five must be actively engaged utive Secretary will assign investigators to determine as owners or managers of collection agencies. The the facts in the case. The investigator reports to the Board's statutory duties limit it to the provision of Executive Secretary and, on approval by the Board, advice and recommendations to the Director and the takes his findings to the Attorney General. If the Chief. The law provides that the Chairman of the latter feels there is sufficient evidence for proceeding, Board must call meetings at least four but not more charges will be prepared and a hearing set. Hearing than six times per year. Additional meetings of the officers are used, there being an average of three or Board may be held only with the approval of the Bu- four cases a year that are carried through to a hearing. reau Chief. Some investigations are completed quickly; others may require a year or more. Licensing Perhaps the most common infraction of the law is The Board licenses all collection agency offices; re- that of practicing civil engineering or land surveying gardless of ownership, each physically separate office without a license. In these cases the investigator nor- must have an individual license. To qualify for a li- mally takes his findings to the District Attorney in the cense the applicant must: post a $5,000 bond with the locality and asks him to proceed against the person. Bureau; have a net worth of $7,500 of which $5,000 Rather than engage the services of the Division of must be cash in the bank; and be of good moral Investigation, the Board continues its long-established character. If a corporation or partnership applies for practice of employing its own staff of investigators a collection agency license, each owner, member of (six full-time). More have been requested, but denied the Board of Directors, and major stockholder must be in the budget review process by the Department of of good moral character. A further requirement for Finance, the latter urging use of the Division of In- licensure is that each office must be managed by a vestigation. qualified person.' An applicant for a Qualification Certificate must COLLECTION AGENCY LICENSING BUREAU meet the following requirements: age 21; citizen of The Collection Agency licensing function was origi- U.S.; good moral character; resident of California for nally created by the Legislature in 1927. It was placed two preceding years; equivalent of high school educa- under the administrative jurisdiction of the Prison tion; two years full-time experience collecting ac- 34 AN EXAMINATION OF THE counts in a collection agency; and a passing grade on rector of the Department of Professional and Voca- the required examination. tional Standards was designated the Registrar of The qualification certificate examination is adminis- Contractors with full authority under the law. After tered twice per year in San Francisco and Los An- several unsuccessful attempts, the industry obtained geles. About 50 candidates take each examination of legislation in 1935 creating the Contractors License which about 50 per cent are successful. The examina- Board. Board actions were for a time subject to the tion covers various principles of law, accounting, pro- approval of the Department Director, but subsequent fessional ethics, and the rules and regulations govern- amendments have given the Board and the Registrar ing the industry. It is composed, administered, and final authority in their areas of operation. graded by the Bureau Chief and his staff. All persons who work in a collection agency as ac- Functions tive collectors must be registered with the Bureau. Re- The Board and Registrar administer the Contrac- sponsibility for reporting of new employees rests with tors License Law by granting licenses in 36 basic the employer; employment of a person who has failed categories in the construction industry and by en- to comply with the registration requirements may re- forcing provisions of the law relating to the activities sult in either a criminal action or a disciplinary ac- of licensed contractors. tion against the agency license. The Bureau makes a thorough background investigation of all registered Organization employees and may, after a hearing, deny registration The Board is comprised of nine members, eight to a person who lacks good character. of whom must hold current contractors licenses (one The various fees include original office license $300 general engineering, three general building, and four and annual renewal $200; qualification certificate ex- specialty contractors). The ninth is the public mem- amination $75 and annual renewal $20; and employee ber. Appointments are made by the Governor for registration $10 (a one-time fee). four-year staggered terms, members serving without Enforcement compensation. They must be at least 30 years old, of good character, and residents of the State for the Until 1965 the Bureau had a staff of ten professional five years preceding appointment. The Board through auditors who routinely audited the records of all its enacted rules and regulations prescribes the licens- collection agencies. The industry was dissatisfied with ing policies and procedures and defines the license this arrangement because the cost was borne by li- classifications. It meets quarterly. The Registrar as cense fees. As a result of a Legislative revision the the Executive Officer of the Board carries out its procedure was changed on January 1, 1965. The num- policies and has final authority on enforcement and ber of auditors was reduced from ten to two and each disciplinary actions. The staff of the Board approx- collection agency was required to submit an annual imates 160, some 90 of whom are primarily engaged financial statement of its operations prepared by a in investigative and enforcement work. In addition certified public accountant. The two remaining audi- to the headquarters office, regional, district, and tors are now used to conduct intensive audits of agen- branch offices are maintained throughout the State. cies which submit questionable financial statements and are the subjects of complaints. There is now some Licensing Activities dissatisfaction in the industry with the current pro- cedure in that a financial report may cost a larger The license categories set by the Board include agency several thousand dollars. General Engineering Contractor, General Building During the period 1959 through 1964 the Bureau Contractor, and Specialty Contractor in 34 categories filed a total of 159 accusations against licensees, re- plus another 50 or more Limited Specialty Classes. The total number of licensees exceeds 95,000. An sulting in the revocation of about 75 licenses and the suspension of another 39. Additionally, 22 licensees applicant for a license must present documentary information on his experience, type of contracting were placed on probation, 13 licensees suspended with business to be conducted, insurance coverage, finan- suspension stayed and placed on probation, 5 re- voked with the revocation stayed, 3 were found to have cial solvency, and related matters. He must have had violated the law but no penalty was assessed, and ac- at least four years' experience at the journeyman cusations against 2 licensees were dismissed. In addi- level or higher during the preceding ten years. Written examinations are given to qualified appli- tion to these formal disciplinary actions the Bureau also issued numerous formal warning letters. Since cants. These are prepared by board staff in coopera- January 1, 1965, the Bureau's audit program has tion with industry representatives and with Board review. necessarily been curtailed; nevertheless, during this ten-month period a total of 26 accusations and 37 In recent examinations, 50 to 70 per cent of the warning letters have been issued. examinees in most categories received passing grades, although in a few the percentage fell below this level CONTRACTORS STATE LICENSE BOARD or reached as high as 80 per cent. The examinations test knowledge of the laws governing the construc- Background tion industry and of the materials, techniques, and The registration of contractors was initiated in methods used in the particular license classification. 1929 at the request of the industry. At first the Di- Where the applicant is a firm, a responsible manag- DEPARTMENT OF PROFESSIONAL AND VOCATIONAL STANDARDS 35 ing employee or principal must qualify by examina- basic $1,000 bond has not. The law was recently modi- tion and experience. The Registrar has substantial fied to allow the Board to seek an injunction against delegated authority from the Board to administer a non-licensed contractor to prevent his working the examining program. pending court decision; this has not proved a par- The fee schedule is set by law and now stands at ticularly useful device. $50 for original application and biennial renewal, and $20 for each additional category for which a BOARD OF COSMETOLOGY license is sought. Total income of the Board for the Functions year 1965-66, a regular renewal year, was $2.7 mil- The Board of Cosmetology examines, licenses, and lion; for the off-year 1964-65 it was under $500,000. regulates persons and businesses engaged in the vari- With current expenditures running at nearly $2.2 ous branches of cosmetology. million, it was found necessary to obtain legislative approval in the 1966 special session for an increase in Organization the license fee. The Board is comprised of seven members ap- As a condition of obtaining a license, a person pointed by the Governor for four-year overlapping must post a $1,000 bond with the Board. Clients or terms. Five members must be licensed cosmetologists, others wronged by a contractor can proceed through one an owner-manager of a school of cosmetology, the courts to collect damages. This is, of course, a and one a public member. Staff consists of an Execu- very modest bonding requirement considering the size tive Secretary and 25 administrative and office per- of most contruction contracts. sonnel, including 1 full-time examiner in Los Angeles Enforcement and 1 in San Francisco. A large number of inter- mittent personnel are used in the examination process. The Contractors License Law sets forth more than twenty kinds of actions and practices on the part Licensing of contractors that constitute cause for license sus- The Board issues 10 different licenses: cosmetol- pension or revocation. These range from disregard- ogist, manicurist, electrologist, cosmetology instructor, ing plans or specifications and non-performance electrology instructor, junior operator, junior elec- under contracts to misuse of funds and insolvency. trologist, cosmetological establishment, school of cos- Nearly 2,000 complaints are received monthly- metology, and school of electrology. Examinations are 22,000 in the 1965-66 fiscal year. Many are against required for the first five of these. Cosmetologist, by persons without the proper license-more than 5,000 far the largest class, includes all beauty operators last year-but the majority are public complaints licensed to-perform the full range of cosmetological against licensees. These are investigated by Board services including manicuring, hair cutting, and hair staff who may first, where appropriate, seek a solu- setting. The more specialized class, such as manicur- tion acceptable to the concerned parties. In cases where evidence of serious violation of the law is ists or electrologists, are licensed only to provide a found, disciplinary proceedings are instituted specific service. The basic requirements for licensure as a cosmetol- under the provisions of the Administrative Procedure Act. ogist are age 18, tenth grade education or equivalent, good moral character, a passing examination grade, Roughly one-half of all complaints are dismissed and either (a) 1,600 hours of training in a school or settled on initial investigation. In the year past approved by the Board, (b) 4 years' experience as a formal disciplinary proceedings were taken against cosmetologist employed outside the State, or (c) 2 more than 1,000 licensees, nearly one-half of which years' experience as a junior operator in a licensed resulted in license revocation and an additional 20 establishment. The requirements for other licenses per cent in license suspension. More than 150 cases are similar with some variations in the required age were dismissed after admininstrative hearing. Of the and training. The classifications of junior operator 5,000 complaints concerning non-licensed contractors, and junior electrologist are actually two-year ap- more than 600 resulted in court convictions-most are prentice programs. Junior operators, for example, dropped for lack of sufficient evidence to prosecute, may take the operator examination after two years, as determined by the Board staff or district attorneys. without having attended a cosmetological school. In Hearing officers from the Office of Administrative practice, very few junior operator or junior electrol- Procedures are used in all disciplinary hearings. ogist licenses are issued-most cosmetologists and Their decisions are advisory to the Registrar who electrologists attend schools instead of going through may reduce the penalty or, on review of the full the apprenticeship program. transcript, increase the penalty. The latter is infre- The Board administers examinations daily in Los quently done. The decision of the Registrar is subject Angeles and San Francisco, over 90 per cent of the to review only by court proceedings. 14,000 examinations administered annually being A contractor who has had a license suspended or for cosmetologists. All examinations are composed by revoked must post a bond of $3,000 to $10,000, for a the Board, the most recent cosmetologist examination two-year period, as one condition of again being li- having been developed in August of 1965. The cos- censed or having his license reinstated. This has metologist examination is weighted 75 per cent prac- proved an effective enforcement measure, whereas the tical and 25 per cent written, the practical portion 36 AN EXAMINATION OF THE being divided into six parts. If a candidate fails to Functions achieve the required 75 per cent passing score on any of the seven test parts, he is given conditional credit The Board of Dental Examiners licenses dentists for those passed and may retake those failed any time and dental hygienists, approves dental colleges and from 30 days to one year after his original examina- hygienists' education programs, and enforces the Den- tion. A candidate failing to pass the complete exami- tal Practices Act provisions affecting the conduct of nation on the second attempt cannot retake the ex- licensees. amination until completing an additional 500 hours of school instruction. Organization Examinations are graded by the Board staff at the The Board is comprised of seven dentist members Examination site. A successful candidate usually re- and one public member. In selecting members, the ceives a license in the mail within 48 hours. Governor has sought to assure a fair geographic rep- The Board staff routinely reviews and acts upon resentation and has avoided an imbalance on the all application forms, and candidates who fail to board of graduates from any one dental college. Mem- meet a technical requirement are SO advised. Each bers generally have a number of years of successful applicant is evaluated for good character and may practice in the profession. The law requires that, to be administratively rejected by the staff, in which be appointed to the Board, a dentist must have five years of experience in the State and not be a member case a hearing under the Administrative Procedure Act is automatically scheduled. of the faculty of any dental school. Dentists who spe- cialize in a particular field are not named to the board The Board approves and licenses cosmetological because of the role described below of board members schools. Whereas the law requires only that a cos- in the examining process. The Board meets on an av- metological school give 1,600 hours of training, the erage of once a month in business session and four Board prescribes the breakdown of that training. times a year for the conduct of examinations. The Transcripts of applicants graduated from out-of-state staff consists of the Executive Secretary, a part-time schools are reviewed by the staff to determine posses- attorney, three investigators, and supporting clerical sion of the required number of hours in the various personnel. subjects. There are approximately 200 licensed schools in California. Licensing of Dentists Enforcement The qualifications to take the examination are grad- uation from an approved dental school, good moral The Board uses the services of the Division of character, and payment of a $50 application fee. The Investigation whose personnel routinely inspect all staff of the Board verifies the credentials submitted licensed shops for sanitary conditions and to deter- with and information contained on the application mine that all operators are properly licensed. The form. The battery of examinations includes both writ- largest number of violations pertain to sanitary con- ten and performance elements, requiring several days ditions. These however do not typically result in dis- for completion. ciplinary actions, most being corrected after a warn- The examination questions and materials are pre- ing from the Board. The majority of disciplinary pared by individual board members, each member actions stem from licensee violations of the good other than the public member being assigned respon- character requirements. In the year past a total of sibility for preparing certain sections of the examina- 106 accusations were filed by the Board, for which tion. He develops his questions and sends them in to administrative hearings were scheduled. These cases the board staff where they are put into final form. resulted in 54 license suspensions and 38 revoca- There has been some discussion of the possibility of tions. using the National Board Certificate in lieu of the Unlicensed activity is also an enforcement problem. written examination. This certificate is issued by a Inspectors occasionally discover unlicensed shops. If Council of the American Dental Association which de- after warnings such shops continue to operate, the velops an examination given in two parts on a national cases are referred to local district attorneys. Un- scale, the first part at the end of the sophomore year licensed shops are usually operated by a licensed in a dental college and the second part at the end of operator, in which case the Board may also take the senior year. Thirty-eight states now recognize this disciplinary action to revoke the operator's license. certificate as meeting qualifications for licensing. The Board members conduct the performance tests, BOARD OF DENTAL EXAMINERS proctor all examinations, and do the grading and Background scoring. Use is made of "Examinations Commission- ers," usually former Board members, who are paid on The Dental Practices Act, dating back to 1885, is a per diem basis. one of the first acts calling for state supervision of a The number of applicants taking an examination profession in California. Until 1921 only professional ranges from 150 to 300. In recent examinations, from dentists were licensed, and at that time dental hygien- 93 to 97 per cent of the graduates of California dental ists were added. Dental technicians have unsuccess- colleges passed the examination on their first try. Out- fully sought a licensing program under a separate of-state candidates do not do as well, only 60 to 75 per board of examiners. cent of them passing the first time they take the exami- DEPARTMENT OF PROFESSIONAL AND VOCATIONAL STANDARDS 37 nation. In both categories the failures are most com- intemperance, sex offenses, fraudulent claims to wel- monly on the practical aspects of the examination. A fare and other agencies, and conviction of felonies. candidate who fails in the examination can request In the past year, there were seven cases which went an interview with the Board at which the Board dis- through the hearing procedure and where licensees cusses with him the reasons for his failure. were found guilty. In these cases use is made of Board members receive $25 per day of attendance Hearing Officers, the Board sitting with them where at meetings and $25 per day on those days when they matters of professional competence are involved. are conducting examinations. They also receive $25 There are many complaints and minor offenses dealt for each examination prepared and a like amount for with short of formal proceedings; many relate to al- each 20 papers corrected. leged excessive charges or unsatisfactory work. The Board takes the view that the former is not within Licensing of Dental Hygienists their jurisdiction. Complaints of poor work are fol- To become licensed as a dental hygienist, a person lowed up by staff investigators and reported to the must be 18 years of age, of good moral character, and dentist who is asked to give his explanation. The staff graduated from an approved course in dental hygiene. then seeks to dispose of the matter by dismissing the Examinations are prepared and administered in the complaint or by suggesting. to the dentist that he take same manner as those for dentists, and they are given some corrective action. Normally these matters are at the same time and place. There is an average of settled expeditiously. 100 candidates sitting per examination, and the per- The Board makes use of the Division of Investiga- centage of failures is in the range of 5 to 10 per cent. tion on complaints regarding non-licensed persons The latter are primarily out-of-state candidates for and in investigating the background of candidates for the reason that California law permits dental hygien- the examination where the information suggests this ists to do relatively more than they are allowed to do would be desirable. Complaints of the practice of den- in many other states. tistry by persons who are not licensed are usually The use of dental hygienists by dentists is increas- against dental technicians who undertake to make false ing sharply. In 1954 there were only 620 licensees in teeth or to do other prosthetic work without involving California, whereas now the number is approximately a professional dentist. 2,500. Use is made by the Board of what is called a Approval of Dental Colleges and Hygienists Programs citation hearing. An illustration of this is in the pro- There are at present in California five accredited motion of "dental plans" where frequently salesmen colleges of dentistry and decision has been taken to go door to door selling such a plan which entitles the create two new dental colleges. The Board recognizes person to dental service at reduced prices. Normally dental colleges elsewhere in the United States which these are promoted by lay persons, but in association have been approved by the Council on Dental Educa- with dentists. These may be legitimate, but they are tion. This Council, a creation of the American Dental apt to not be. The staff in these cases investigates and Association, inspects dental colleges throughout the presents its findings to the Board. The Board may call United States and recommends for or against their in the dentists associated with the plan for questioning accreditation. A report of the Council's findings on and then decide if disciplinary action is needed. particular schools is sent to the California Board STATE BOARD OF DRY CLEANERS which then decides whether to approve or disapprove the college. If approved, its graduates can apply for Functions registration in California and sit for the examinations. The State Board of Dry Cleaners examines appli- The present and projected output of California's cants and issues licenses and registration certificates accredited colleges, plus out-of-state applicants, is for various types of establishments and employment judged adequate to meet anticipated needs. in the dry cleaning industry. The business licensing There are now five accredited educational programs program is mandatory, as is the registration of all for training dental hygienists in the state. The position operators. of the dental profession is that the two-year junior college curriculum is adequate to produce trained den- Organization tal hygienists; however, the Dental Hygienists' Asso- The Board is comprised of seven members appointed ciation is pressing for a four-year educational require- by the Governor for four-year overlapping terms. Of ment. In California the clinical aspects of junior col- the seven members two, by code requirement, must be lege programs of training in dental hygiene must be owners of retail shops, two owners of retail cleaning under the sponsorship and supervision of an accredited plants, two owners of wholesale cleaning plants, and dental school. Graduates of such programs in other one the public representative. Each member must be states are eligible to sit for the California examina- a citizen of the United States and must have been ac- tion if these have been approved by the Council on tively engaged in his respective branch of the clean- Dental Education. ing industry for at least five years immediately prior Enforcement Program to appointment. The staff consists of an Executive Sec- The most common offenses leading to disciplinary retary and eight permanent employees plus some tem- action are improper use of narcotic drugs, serious porary and intermittent help. 38 AN EXAMINATION OF THE Licensing and Registering Operators Organization The Board issues licenses in a multiplicity of differ- There is an advisory board uniquely comprised of ent formats, broken down by the type of business or two industry and three public members. The board operation to be performed, e.g., clothes cleaning estab- meets four to six times a year to advise and consult lishment, dye plant establishment, dry cleaning school, with the Bureau Chief on such matters as interpreta- spotting and pressing shop, press shop, and fur, hat tion of the legislation, issuance of rules and regula- and leather renovator. Operator certificates are issued tions for industry observance, and enforcement poli- for each job category within a licensed establishment. cies. The Bureau Chief, responsible to the Director An examination is given for each of 31 types of li- of the Department, directs all Bureau activities. censes or registration certificates. At least one owner, partner, or managing employee must qualify by ex- Dealer Registration amination and otherwise for an establishment license. This is a dealer registration program involving no All examination applicants and licensees are re- examination of competence in the field. Responsi- quired to be of good moral character. Anyone with bility is placed on the dealer for his own actions and convictions of felonies or other offenses may be ap- for the actions of all repair personnel in his employ- proved by the Board and if not approved are entitled, ment. The purpose is to protect the public from mis- upon written request, to a hearing under the Admin- representation and dishonest practices by requiring istrative Procedure Act. In addition to the good char- registration of dealers and granting authority to the acter requirement, applicants for an owner-operator, State to suspend or revoke that registration or other- or operator certificate are required to have one year wise induce dealers to serve the public in an honest (or 1,800 hours) of practical experience, or 360 hours' and ethical manner. This kind of a licensing program training in an approved dry cleaning school-or a assumes that the laws of the market place will deal combination of the two. satisfactorily with the incompetent operator and with Examinations are administered each month in Los the one who simply charges too much. The control Angeles and Oakland. Some consist of both a written program is directed solely towards the dishonest or portion and practical portion, others a written por- fraudulent parties. This is, of course, quite different tion only. The Board owns dry cleaning equipment from the theory underlying the licensing of profes- and rents the examination facilities. sions. Any person or company that wishes to engage in Enforcement the business of electronic equipment repair (televi- The Board uses the services of the Division of sion, radio, and sound reproduction) may do SO by Investigation and the State Fire Marshal. The latter filing an application with the Bureau and paying a is responsible for inspection of cleaning establish- $35 fee. On the application form he is asked only to ments for compliance with fire safety standards. These identify himself, the type of business, address, name services are paid for from Board funds. Enforce- and titles of officers in the corporation or partner- ment activities include inspections of establishments ship, and the names and addresses of all persons in for observance of licensing code requirements and the business who will be engaged in repair work. Ap- presence of excessive perchlorethylene fumes, restric- proval of the application and issuance of a certifi- tion of unlicensed activity, and investigations of al- cate of registration are automatic. Fees from the leged or reported acts contrary to the good character 7,600 registered dealers are deposited in a special requirements. Nearly 1,500 investigations were con- fund and cover the cost of the program. ducted in the year 1965-66, 13 administrative hear- Enforcement ings were held, and 8 license suspensions or revoca- tions effected. The Bureau looks to the Division of Investigation for routine inspections of registrants. These are fairly BUREAU OF ELECTRONIC REPAIR simple inspections to assure that the shop is reg- DEALER REGISTRATION istered and observing the full disclosure requirements Background on invoices which require detail on the work per- formed for the customer, the new parts needed, the This is the latest licensing legislation enacted in name of the repairman, and S0 on. The Division of the State, taking effect in 1963. It was enacted after five years of effort on the part of the industry. Sup- Investigation personnel make these inspections rou- tinely as they are inspecting other licensed establish- port for the legislation was built up through sub- ments. Where they find violations, they will issue a stantial evidence of fraud on the part of electronic notice of violation and perform the necessary follow- repair dealers, particularly in the repair of television sets. up. The Bureau received more than 3,000 complaints in Functions the past year, most of which come from private citi- zens who felt thay had, in some way, been cheated The Bureau registers electronic equipment repair or dealt with unfairly. Others came by referral from dealers and enforces provisions of law and regula- better business bureaus or local police departments, tions regarding the conduct of this business activity- and a few from competitors. These are reviewed by related primarily to fraudulent practices. bureau staff and checked against the registrant's file DEPARTMENT OF PROFESSIONAL AND VOCATIONAL STANDARDS 39 where a running record is maintained of complaints score, graduation from a nine-months embalming col- received against each registrant. Complaints are dealt lege approved by the Board, and two years of ap- with according to one of several procedures. In prenticeship in California. Qualified embalmers from many, one of the three field representatives in the other states must serve one year of apprenticeship bureau-who are trained technicians-visit either the in California. Apprentice embalmers are not required complainant or the dealer or both. If it is a fairly to take an examination but they must be 18 years simple matter, he may recommend an adjustment of age, of good moral character, and high school which if accepted ends the case. If the complaint is graduates, and must be employees of a funeral estab- one which indicates serious fraud or dishonest prac- lishment approved by the Board. tice, the Bureau may proceed immediately to "run The Funeral director and embalmer examinations a set" through his shop. This simply means introduc- are held twice a year conncurrently in the San Fran- ing a malfunction into an otherwise good set, and cisco and Los Angeles areas, and in Sacramento on having someone take it to the dealer for repair. If, two different dates. Both examinations are composed on return, the dealer claims to have done a number by the Executive Secretary and approved by the of things not needed, or claimed he put in parts which Board. Funeral Directors are tested on their knowl- he did not, the Bureau proceeds immediately into a edge of the law and of the signs of death, whereas revocation procedure. In up to 90 per cent of these embalmers are also tested on their knowledge of em- cases the dealer is found dishonest. The Administra- balming science. The embalming science questions are tive Procedures Act is followed, using a hearing of- selected from a large number submitted to the Board ficer whose decision is a recommendation to the Bu- by the two schools of embalming located in the State. reau Chief. Ordinarily this recommendation is fol- More than 95% of the 300 candidates examined an- lowed, although there are cases in which the hearing nually are successful. The application fee for funeral officer's decision is believed too lenient. In these cases, director is $35, embalmer, $25; license renewal fees the Bureau Chief asks for a complete transcript of are $100 for funeral director and $25 for embalmer. the hearing, studies it, requests further argument License denial proceedings are conducted under the from both sides, and then reaches a decision. In provisions of the Administrative Procedure Act. most cases, permanent revocation of the license is effected and, in many cases, the Bureau proceeds Other Activities through the District Attorney with criminal charges. The Board's two field representatives, both licensed A number of dealers have been jailed. activities of inspecting funeral establishments regu- larly for compliance with code provisions and Board BOARD OF FUNERAL DIRECTORS regulations, approving establishments for the train- AND EMBALMERS ing of apprentice embalmers, and accrediting embalm- Functions ing schools-as noted above, there are only two such The Board of Funeral Directors and Embalmers schools in California. examines and grants licenses to Funeral Directors Enforcement and Embalmers and supervises the administration of pre-need funeral trust funds. The Board's two field representatives, both licensed embalmers, make routine, unannounced inspections Organization of all funeral establishments in the State. Estab- The Board is comprised of six members appointed lishments are inspected for sanitary conditions, mis- by the Governor for four-year overlapping terms. representation in advertising, and possible solicita- Five members must be licensees of the Board and tion of business. For minor violations the Board may the sixth a public member. The Board meets monthly. schedule an informal hearing; more serious cases are The staff consists of an Executive Secretary, two heard under the provisions of the Administrative field representatives, and several office personnel. Procedure Act and may result in the suspension or revocation of a license. The more serious cases most Licensing frequently involve improper solicitation of business. All funeral establishments must be operated under The Board makes limited use of the Division of the supervision of a licensed funeral director. Funeral Investigation, primarily for undercover work. director licenses are granted to individuals to do Pre-Need Funeral Trust Funds business at a specific address. The prerequisites for a license are: age 21, good character, a passing exam- The Legislature recently assigned the Board re- ination score, and proof that the establishment in sponsibility for regulation of the administration of which the business is to be conducted is properly pre-need funeral funds collected by funeral estab- lishments under which funeral establishments are re- constructed. quired to create a separate trust account for each All embalming must be performed by a licensed client. The Board approves the trustees for these embalmer or by an apprentice under the supervision accounts and requires periodic accounting reports. of a licensed embalmer. The prerequisites for licensure The Board's field representatives examine pre-need as an embalmer are: age 21, good moral character, trust fund accounts as a part of their routine in- completion of high school, a passing examination spections. 40 AN EXAMINATION OF THE BUREAU OF FURNITURE AND BEDDING There are approximately 23,000 licensees in the INSPECTION several categories. Biennial fees are $20 for each Background retail outlet, $80 for renovation facilities, and $120 for wholesale and manufacturing establishments. Efforts in California to regulate the furniture and bedding industry date back to a 1909 Act requiring Inspectional Program a label on merchandise containing "used" filling Division of Investigation personnel routinely in- material. In 1935 the Bureau of Furniture and Bed- spect licensed establishments for compliance with the ding Inspection was created in much its present form, law and regulations. Labels and shipping documents the advisory board being added in 1955. In the last are examined and samples of filling material taken, regular legislative session a bill to correct certain as judged necessary, for laboratory examination. In- deficiencies in the enforcement program and to re- spection reports are filed with the Bureau. The Bu- constitute the advisory board as a policy and decision reau's laboratory is equipped to make a variety of making body passed both houses but was not ap- tests of materials to determine composition of filling proved by the Governor. material, presence of foreign matter, and adherence to standards. Functions The Bureau licenses all individuals or firms en- Disciplinary Activities gaged in the manufacture, processing, repair, or sale The policy of the Bureau has been to work with of upholstered furniture and bedding and those that licensees and encourage compliance by the issuance of sterilize used upholstery or bedding preparatory to warnings and allowing self correction. They are, for resale. It directs a program of enforcing the provi- example, frequently allowed to relabel merchandise. sions of the law in respect to labeling, materials used In most instances the investigator deals fully with a for filling, sanitary practices, and the like. violation on the scene. In others, an enforcement letter is sent from the Bureau Chief to the licensee Organization directing him to take certain kinds of action. Where The Bureau operates as a regular unit of the De- violations are repeated or serious, a special investiga- partment of Professional and Vocational Standards tion is made, the results of which are reviewed by and is headed by chief responsible to the Director of the Bureau Chief, the evidence discussed with the the Department. The advisory committee, comprised staff of the Office of Attorney General, and an accusa- of six representatives of various branches of the in- tion prepared and a hearing held. The decision of the dustry and one public member-all appointed by the hearing officer is advisory to the Bureau Chief. Be- Governor-meets on a quarterly basis and considers fore he accepts, rejects, or modifies it, he may consult matters referred to it by the Bureau Chief. These with legal counsel of the Department or the Attorney most commonly relate to the development of new General. His decision is final, subject to appeal to standards and rules, legislative amendments, enforce- the courts. ment policies, and budget matters. Rarely do mem- bers of the committee initiate agenda items, but they BOARD OF LANDSCAPE ARCHITECTS participate significantly in the resolution of those matters referred to them. Functions A staff of twenty employees carries out the work The Board of Landscape Architects licenses and of the Bureau, which includes operation of a modern regulates the practice of landcape architects. Land- materials testing laboratory. The services of the Divi- scape Architecture is defined as the profession of sion of Investigations are used extensively in the in- preparing plans and specifications and supervising the execution of projects involving the arranging of spection program. land and the elements used thereon. The law does not require mandatory licensing of landscape archi- Licensing tects; it merely requires a person who styles himself The licensing is in no way related to determining as a Landscape Architect to be licensed. competence to engage in the occupation or business. Although it has been contended that health Organization hazards inherent in the use of certain materials The Board is comprised of six members appointed justify the licensing, this as a practical matter is not by the Governor for four-year overlapping terms. a major problem. The requirements for sterilization Five members must be licensees of the Board of of second-hand items or materials is a precautionary which two must be residents of Southern California health measure. The major purpose of the licensing is and two of Northern California; the sixth is the to protect the public from mislabeling and deception. public member. The Board is required by law to The legislation and the Bureau, through its regula- meet quarterly, but in carrying out the responsibil- tions, set standards of tolerance in respect to the ities vested in the Board it meets ten to twelve times identification and labeling of filling materials. It also per year. Staff is currently shared with three other seeks to insure that the sizes and weights recorded on licensing boards-Shorthand Reporters, Veterinar- labels are accurate. ians, and Yacht Brokers. DEPARTMENT OF PROFESSIONAL AND VOCATIONAL STANDARDS 41 Licensing for addiction to alcohol or drugs. License denial pro- To list or advertise as a Landscape Architect a ceedings for other than technical deficiencies are person must be licensed with the Board. The basic heard under the provisions of the Administrative requirements for licensure are: age 21, six years of Procedure Act. The application fee and the biennial combined education and experience in landscape ar- renewal fee are $24. chitecture, good moral character, and a passing grade Enforcement in the landscape architect examination. A college de- gree in landscape architecture is deemed equivalent Enforcement activities are limited for the most to four years of experience. part to the restriction of unlicensed activity. Staff The three day (331 hour) written examination, members check telephone directory classified listings given twice a year, is composed and graded by the for advertising by unlicensed counselors, who are Board. Candidates who are successful on the written then advised by letter of the license requirement. examination are required to pass an oral examination Persistent violators are referred to a local district administered by the Board. Approximately one-third attorney for prosecution - there has been only one of the 125 candidates examined annually are success- such case to date with several others pending. Accord- ful. There are now 788 licenses in effect. ing to departmental records, in fiscal year 1965-66 there were 16 complaints received which led to two Enforcement investigations but no formal disciplinary proceedings. Enforcement activities are confined primarily to BOARD OF MEDICAL EXAMINERS the restriction of unlicensed activity. The Board staff routinely reviews telephone book classified listings for Background improper advertising by unlicensed architects. Per- The regulation of medical practice in the State sistent violators are referrred to local district at- of California dates back to 1876. The classifications torneys for prosecution. Disciplinary actions involv- of licenses have changed from time to time as have ing licensees are heard under the provisions of the the administrative arrangements for performing the Administrative Procedure Act. In fiscal year 1965-66 licensing function. As will be noted below, sev- one such hearing occurred; 25 complaints were re- eral groups within the broad area of the healing arts ported and 18 investigations ordered. are licensed by or somehow under the aegis of the Board of Medical Examiners. Others have their own MARRIAGE, FAMILY, AND CHILD COUNSELOR licensing boards. Some groups formerly licensed - LICENSING drugless practitioners, midwives, and naturopaths— Functions no longer are. The Marriage, Family, and Child Counselor Li- Functions censing Law was enacted by the Legislature in 1963 and became effective on the first of January, 1964. The Board of Medical Examiners administers the The act provides for mandatory licensing of anyone laws relating to the practice of medicine and surgery, who advertises and engages in the business of offering podiatry, dispensing opticians, physical therapy, and a marriage, family, or child counseling service. Some psychology through a program of licensing practi- counselors are exempted from this rule, e.g., em- tioners, approval of schools offering training in these ployees of charitable organizations or ministers. professions, and supervision of licensees. Organization Organization The act assigns general responsibility to the Direc- The Board is comprised of ten physicians, one tor of Professional and Vocational Standards who in public member, and (until the year 1971) one li- turn has contracted with the Board of Social Work censed M.D. representing the licensees formerly of Examiners to perform the licensing function. A 1965 the Board of Osteopathic Examiners. The Board amendment to the act provided that the Governor meets in four regular annual sessions to conduct its may appoint a five-member Advisory Committee on normal business and hearings on disciplinary matters Marriage, Family, and Child Counselors. If the Gov- and two additional meetings each year for the con- ernor elects to appoint such a committee-which he has not done-its membership must contain a psy- duct of examinations. Meetings are of 6 to 7 days chologist, a registered social worker, a minister, and duration largely because of the volume of discipli- a sociologist, all licensees, plus one public member. nary actions considered and hearings held in connec- tion with these. Under the general jurisdiction of the Licensing Board are the following bodies which are prescribed To qualify for a license, an applicant must possess by law: a master's degree in marriage counseling, social work, 1. Podiatry Examining Committee comprised of or a behavioral science, and have two years of per- five licensed podiatrists appointed by the Gov- tinent experience. No examination is required. Candi- ernor on recommendation of the Board of Med- dates may be disqualified because of conviction of a ical Examiners and one public member ap- felony or an offense involving moral turpitude and pointed by the Governor. 42 AN EXAMINATION OF THE 2. Physical Therapy Examining Committee com- Podiatrists prised of one licensed M.D., three licensed phys- Podiatrists are licensed by the Board of Medical ical therapists, and one public member, all ap- Examiners, assisted by the aforementioned Examining pointed by the Governor. Committee. The Committee receives and approves ap- 3. Psychology Examining Committee comprised of plications, prepares and conducts examinations, and seven certified psychologists and one public mem- recommends to the Board of Medical Examiners those ber appointed by the Governor. persons to be granted licenses. The Board routinely These three bodies administer certain provisions of concurs in the recommendations of the Committee. To the law governing the licensing of the respective pro- apply for such a license, a person must have at least fessions. completed a two-year college course, which has in- The staff of the Board, which provides facilitative cluded certain specified subjects, and been graduated from a four-year school of podiatry. There is one such services for the Board and the three listed committees, school in the State of California. The examination is is under the immediate direction of the Executive Sec- retary and consists of approximately 20 administrative prepared, administered, and graded by Committee members and is given at the same time and place as and office personnel. the examinations for physicians and surgeons. Licensing of Physicians and Surgeons Prior to 1957, licensing of podiatrists was carried Applicants for a license as a Physician and Surgeon out directly by the Board of Medical Examiners, but in that year the Committee was created. The Associa- must be graduates of an accredited medical college and pass a written examination. The Board recognizes tion of Podiatrists had petitioned for a licensing board colleges that have been accredited by the Association of their own; however, the Legislature responded by of American Medical Colleges and the Council of Med- authorizing the Committee. There are now approxi- ical Education and Hospitals of the American Medical mately 900 licenses. Association. The written examination is prepared and Registered Physical Therapists administered by the Board. Provision is made for the licensing of applicants on the basis of reciprocity or The Board of Medical Examiners has licensed "reg- endorsement either on the basis of a license issued by istered physical therapists" since 1953. To qualify for another state or on the basis of National Board Cre- the examination, a person must have fulfilled one of dentials-during the past year 2,200 such licenses were several educational options, roughly the equivalent granted out of a total of approximately 2,700. Nearly of a Bachelors Degree. The examination used is one 500 applicants took the State Board's examination; of developed by the American Physical Therapists' Asso- these, more than 99 per cent of the graduates of Cali- ciation and Professional Examination Service of the fornia medical colleges and 83 per cent of the appli- American Public Health Association, with the Califor- cants trained in foreign colleges achieved passing nia Board of Medical Examiners determining the pass- grades. ing grade. A registered physical therapist by law must work under the supervision and direction of a licensed Special requirements have been set for applicants from foreign colleges which include two years service physician and surgeon. satisfactory to the Board in a hospital or hospitals lo- Licensed Physical Therapist cated in the United States and approved for the train- ing of interns, one of the two years in a hospital within At the time the physical therapists sought licensing the State of California. Commissioned officers of the -in the year 1953-the members of the group could military establishment and the U.S. Public Health not reach agreement, particularly on the conditions Service are licensed under special provisions of the under which they would be blanketed under the law which give them a preferred status. 'grandfather'' clause and on questions of supervision The Board's written examination is prepared by of their practice. This resulted in the two forms of licensing one-for registered physical therapists, noted the Board members. One member is assigned each of above, and one for licensed physical therapists. In the nine subject areas, personally, grading the section the latter case, an Examining Committee was estab- of the examination he constructed. Oral practical ex- lished comprised of three physical therapists, one aminations are given out-of-state applicants seeking a physician, and one public member. When the two bills license on the basis of reciprocity or endorsement if were first introduced, both passed the Legislature and more than five years have lapsed since they took their were vetoed by the Governor-in the following session written examination in another state or that of the both passed and both were approved. Although there National Board of Medical Examiners. All graduates are minor differences in the qualification standards, of foreign medical schools must, in addition to the basically the same examination is given in both cases. written examination, pass an oral and clinical exami- There is a distinction between the two groups in terms of their practice in that the registered physical ther- nation at the completion of the required hospital apist must work under a licensed physician and sur- service. These are conducted by two-man teams made geon whereas the licensed physical therapist may also up of members of the Board and Examination Com- work under a chiropractor or on his own. However, in missioners who are M.D.'s retained by the Board for the latter instance, the law states that he cannot diag- this purpose. nose. The licensed physical therapist group is on the DEPARTMENT OF PROFESSIONAL AND VOCATIONAL STANDARDS 43 decline. The last examination given was in 1963 which Drugless Practitioners was passed by one person and failed by a second, thus Drugless practitioners were licensed by the Board essentially all persons now entering the field are of Medical Examiners prior to the year 1946, at which coming in as registered physical therapists. There is a time their licensing was discontinued. Since then current move to consolidate the two groups, and it is licenses have been renewed but no new ones issued; likely that legislation will be introduced in the next the active group now numbers less than 60. session to accomplish this. At the present time, there are approximately 2,500 registered physical therapists Midwives and 950 licensed physical therapists. Midwives are in the same category as drugless prac- Psychologists tioners, although at present there remain only three active licenses. In 1957 the Psychologist Examining Committee was created by legislation, and although attached to the Other Activities Board of Medical Examiners, was assigned the full The following functions are also required of the range of functions normally exercised by an autono- Board under the provisions of the Medical Practice mous licensing board. Its being placed under the Act: approval of hospitals for the training of interns Board of Medical Examiners simply reflected a reluc- and residents; approval of hospitals for the treat- tance on the part of the Legislature to create new ment of narcotic addiction under the provisions of autonomous boards. The law contains clear language Section 11391 of the Health and Safety Code; and requiring the Board of Medical Examiners to act "at enforcement of certain provisions relating to mental the direction of the committee" and there is nothing illness of licentiates. in the law that would appear to permit the Board of Medical Examiners to disapprove any action taken by Enforcement Activities-Licensed Physicians the Committee. The Board learns of alleged improper or unlawful Requirements for the examination include the pos- conduct of licensees through citizen of patient com- session of a Ph.D. in psychology or educational psy- plaints, local medical societies, other licensees, and chology, or training deemed equivalent by the Com- law enforcement agencies. Patient complaints most mittee. The law further specifies the degree shall be frequently relate to fees or questions of professional from the University of California, Stanford, U.S.C., competence. Other commonly reported offenses involve or another university having an equivalent program. improper use or prescription of narcotic and dan- The applicant must possess at least one year of super- gerous drugs, imtemperance, illegal abortions, and vised professional experience, as determined by the practicing medicine without a license. Committee. The examination is composed, adminis- Complaints of non-licensees practicing medicine tered, and graded by the members of the Committee, when received by the Executive Secretary are screened and includes an oral portion for which a verbatim and passed to the Division of Investigation. If suffi- cient evidence is found, the case is referred to the transcript must be taken. local District Attorney for prosecution. Alleged or This is not a mandatory license; it simply prevents reported violations of the law and regulations by a person from using the title Certified Psychologist licensed M.D.'s and other licentiates of the Board are unless he possesses a license. There has been discussion similarly investigated with the Executive Secretary of making licensing mandatory but this would pose deciding-on the basis of the investigation report- difficult problems of defining precisely what consti- those to be referred to the Attorney General for pro- tutes the practice of psychology. ceedings under the Administrative Procedure Act. In the past, if the Attorney General recommended that Registered Dispensing Opticians the case go to a hearing, the entire Board membership was polled by mail to decide if the case would be The Board of Medical Examiners licenses regis- heard by a hearing officer, by the Board, or by a Dis- tered dispensing opticians who, by legal definition, trict Review Committee. By recent decision, the Board may fill prescriptions issued only by physicians and delegated this authority to the Secretary-Treasurer surgeons licensed by the Board of Medical Examin- (a Board member) and the Executive Secretary. ers-excluded from this group may be those work- The District Review Committees were created by ing for or through optometrists. This is not conven- 1965 legislation as a new approach to the exercise of tional individual licensing, but rather a license to a discipline. Five Committees were established, each person, partnership, or firm to do business at a par- serving a defined geographic area, having as mem- ticular location. bers five licensed M.D.'s appointed by the Governor The requirements for registration include five years from panels of candidates variously nominated by local medical societies, medical school deans, and the of actual experience in the fitting and adjusting any State Board. The Committees hear discipline cases prescription lens or lenses and the submission of cer- assigned to them, sitting with a hearing officer, and tificates issued by three physicians who specialize in make a proposed decision to the Board. The Board the treatment of the eye, stating that the applicant is may accept the decision or order one of several types experienced, competent, has good character, and SO on. of re-hearings. The same legislation redefined and 44 AN EXAMINATION OF THE somewhat expanded the licensee actions calling for Accrediting Schools of Nursing disciplinary measures in the area of imcompetence Within the State of California there are 65 ac- and gross negligence. These types of cases-and others involving evaluation of professional performance- credited programs of nursing education within three are generally heard by a Committee or the Board it- general categories: (1) 15 schools offering the Bac- self sitting with a hearing officer, rather than solely calaureate Degree, (2) 18 programs within hospitals by the latter. In recent years the Board has been which give a Diploma in Nursing, and (3) 32 junior participating in perhaps 20 to 25 per cent of the hear- college programs leading to an Associate Degree. The ings; the District Committees should assume some of Board sets standards as to faculty, facilities, and this activity. curriculum and maintains a continuing supervision of the schools following the granting of Certificates The 1965 legislation permits the Board to revoke a of Accreditation. The nursing education consultants license for certain acts which formerly could be conduct inspections, consult with school officials, and done only after a court conviction on criminal make recommendations to the Board. The Board acts charges-as commission of any act involving moral upon all matters relating to granting or withdrawal turpitude, dishonesty, or corruption. of accreditation and approves changes in school direc- The number of disciplinary cases processed by the tors and curriculum. Board in the year 1965 which reached the hearing stage totaled 131, resulting in 24 revocations, 32 revo- Licensing cations stayed and the licensee placed on probation, 8 A person must be licensed by the Board to engage suspensions or other penalties, 1 dismissed, and 66 in the practice of professional nursing. Primary re- carried forward pending decision. quirements are graduation from an accredited school Enforcement-Other Licensed Groups and successful completion of a written examination. Graduation from out-of-state schools is recognized There is substatial similarity in the enforcement provided those schools have programs equivalent to programs affecting all groups licensed by the Board of the minimums set for schools within California. The Medical Examiners for several reasons; the Board examination used is a national one developed by the sets general policy, the same staff serves all groups, National League for Nursing (State Board Test Pool and since all function in the field of the healing arts Examination). Representatives of the Board partici- the punishable offenses are much the same. The more pate in its preparation and the draft examination frequent disciplinary actions deal with cases of in- is reviewed and approved by the Board. In recent temperance, use of drugs, and providing services out- examinations approximately 10 per cent of the Cali- side those authorized by law. Perhaps two or three fornia nurse applicants have failed, compared with disciplinary cases involving members of each of the a national average of 15 or more per cent failure. other licensed groups are processed each year under Registered or professional nurses from out-of-state the Administrative Procedure Act. are licensed on a reciprocal basis without examination, subject to a documentary review of their educational BOARD OF NURSING EDUCATION AND NURSE background. REGISTRATION There are at present 122,500 licensed nurses. Of Functions these an estimated 20 percent reside outside the State The Board of Nursing Education and Nurse Regi- and roughly one-third are currently inactive (not stration regulates professional nursing in California. working as nurses). The fee for examination and ini- In SO doing, the Board accredits schools of nursing tial licensing is $20 with a biennial renewal fee of $6. and approves programs of nursing education, licenses or registers professional nurses, and otherwise ad- Enforcement ministers the Nursing Practice Act. The Nursing Practice Act specifies a number of Organization causes for disciplinary action including unprofes- sional conduct, incompetence, gross negligence, in- The Board is comprised of five registered profes- temperance, narcotic or dangerous drug use or un- sional nurses and one public member. Required by authorized handling, and engaging in the practice of law to meet three times annually, the Board in prac- medicine. Certain of these are not easily defined or tice meets at least twice that often in two or three detected. On receipt of a complaint or report of such day sessions. In addition to enacting rules and regu- alleged actions an investigation may be ordered by lations and giving general guidance to the Executive the Executive Secretary. The Division of Investiga- Secretary, it acts on numerous specific matters such tion service is used. If the Investigator's report gives as accreditation of nursing schools, disciplinary mat- evidence of need for disciplinary action, the normal ters, and applicant appeals. The staff of 33 includes procedure is referral by the Executive Secretary to 7 nursing education consultants who work closely the Attorney General and a hearing by the Office of with schools of nursing and office personnel engaged Administrative Procedure. The proposed decision of in licensing activities and the processing of disciplin- the hearing officer is referred to the Board for mail ary actions. vote and appropriate action is taken. Cases in which DEPARTMENT OF PROFESSIONAL AND VOCATIONAL STANDARDS 45 incompetence is charged are heard by the Board papers. Candidates must achieve a passing score of sitting with the hearing officer. 75 per cent on each part to pass the examination. The more common disciplinary actions are license Candidates who do not pass the entire examination suspension or revocation. When a license is revoked are allowed conditional credit for those portions on the licensee can apply to the board for reinstatement which they received a score of 85 percent and need after one year; the Board in considering such a re- not retake these at the next examination. quest may call the applicant before it or order a regu- There is no reciprocity for optometrists from other lar hearing. These cases occupy a significant portion states. A number of states (not California) use a of the Board's time. Suspensions are normally standardized examination composed by the National "stayed" and the nurse placed on probation-under Board of Examiners in Optometry; the Board is now the supervision of a committee comprised of two exploring the possibility of recognizing the results of board members and a staff representative. In the year this examination. ending June, 1966 a total of 229 cases were investi- The law provides that any licensed optometrist, gated, of which 72 went to formal hearings and re- upon payment of an annual $15 registration fee, may sulted in 12 suspensions and 38 revocations. Com- operate a branch office in which he employs other plaints of persons practicing professional nursing licensed optometrists. Prior to October 1, 1959, there without a license are frequently received, but are was no limit to the number of such branch offices often difficult to resolve because of the problem of but a legislative enactment at that time imposed a definition as to what constitutes "professional" limit of one (in addition to the optometrist's prime nursing. place of business). A grandfather clause allowed con- tinued operation of branch offices existing prior to STATE BOARD OF OPTOMETRY this date. Functions The Board has an accreditation program for The State Board of Optometry examines and schools of optometry which includes periodic inspec- grants licenses to optometrists and optometrist tions of those within California. Outside-of-state branch offices and generally regulates the practice of schools are accredited through a study of course cata- optometry. logs, course descriptions, and related materials. In approving the facilities of out-of-state schools, the Organization Board accepts the accreditation of the Council on Op- The Board is comprised of six members appointed tometric Education of the American Optometric As- by the Governor for four-year overlapping terms. sociation. Five members must be practicing licensees of the Board and the sixth a public member. The Board Enforcement meets five to seven times per year. The staff consists The Board uses the services of the Division of In- of the Executive Secretary and an office employee. vestigation. A large proportion of the complaints in- vestigated deal with alleged improper advertising, Licensing among other allegations investigated are: unaccept- An applicant for licensure is required to be 21 able or immoral conduct, frauds and misrepresenta- years of age, of good moral character, a high school tions, inefficiency and incompetence, habitual intoxi- graduate; and to have completed 60 semester units cation, unlicensed practice, and aiding and abetting of collegiate work including certain required subjects unlicensed practice. Many cases are resolved with and three years of instruction in an accredited school what might be termed administrative warnings by of optometry. Applicants with technically deficient the staff of the Board. It is felt that a formal warn- applications or lacking the required educational prep- ing could only result from a formal proceeding. Cases aration are SO advised administratively and given an involving serious violations are referred to a formal opportunity to present further information or re- administrative hearing; during the last three years quest a hearing. When an applicant does not appear there have been two suspensions and one revocation to satisfy the good character requirement, the appli- ordered. In addition, there have been two prosecu- cation is denied and a hearing conducted in accord- tions and two convictions of unlicensed practice and ance with the Administrative Procedure Act. five proceedings initiated by statements of issues, The optometrist license examination, conducted four of the latter having to do with the licensing of once a year, is composed, administered, and graded branch offices. by the Board and staff. Of about 100 candidates ex- amined each year, approximately 90 per cent are suc- BOARD OF PHARMACY cessful. The test is divided into eight parts-five writ- Functions ten and three practical. The professional members of the Board write questions for the written parts of The Board of Pharmacy licenses pharmacists and the examination and determine what types of forms other individuals and establishments engaged in the and instructions will be needed for both the written manufacture and distribution of pharmaceuticals and and practical parts. They also determine procedures carries out an extensive educational and enforcement to be followed in the administration of the examina- program covering all aspects of the pharmaceutical tion and personally correct and grade examination industry. 46 AN EXAMINATION OF THE Organization pose of the licensing being to know who is in the busi- The Board of Pharmacy is a policy and regulatory ness and to impose needed controls over this activity. body comprised of seven registered pharmacists and The law prescribes that any drug manufactured or one public member appointed by the Governor for sold in California must be prepared under the super- four-year staggered terms. The staff includes an Exec- vision of a licensed pharmacist. The Board licenses utive Secretary who by Board ruling is a registered manufacturers inside and outside of the State. After pharmacist and eleven inspectors, similarly registered. examination of such an applicant's qualifications, the The inspectors are engaged in a continuing program Board may grant a Certificate of Exemption for a non- of pharmacy inspections and the investigation of com- pharmacist to manufacture drugs. plaints or reports of alleged infractions of the law or Enforcement Board regulations. The Board's inspectors make regular inspections of Licensing Activities licensed pharmacies to assure compliance with code The Board licenses pharmacists and issues various provisions and Board regulations and to provide in- formational-educational assistance to licensees. The permits or certificates for retail pharmacies; drug manufacturers and wholesalers; manufacturers, whole- services of the Division of Investigation are used in salers, and retailers of prophylactics; retailers of the investigation of alleged offenses of the type in- hypnotic drugs; wholesalers and retailers of hypoder- volving "street crimes.' In fiscal year 1965-66 an mic syringes and needles; itinerant vendors; and gen- estimated 1,200 complaints were received. Of these 408 eral dealers. were referred to the Division; 356 were investigated by Pharmacy Inspectors; the balance were otherwise The requirements for certification as a registered disposed of 175 formal warnings issued by Pharmacy pharmacist include graduation from an approved col- Inspectors, and 32 administrative hearings held which lege of pharmacy, one year of experience under the resulted in 24 suspensions and 4 revocations. Among direct supervision of a registered pharmacist, good the more frequent offenses leading to formal discipli- moral character and temperate habits, and successful nary action are filling or refilling prescriptions with- completion of an examination. Applications are re- out a physician's authorization, operation of a phar- ceived and reviewed by the staff, a four-member cre- macy without a registered pharmacist on duty, false dentials committee of the Board, and finally the Board advertising, and conviction of a felony or offense in- itself. The examination is prepared and administered dicating bad character. The code prescribed numerous by the members of the Board and is given four times grounds for action, including narcotic act violations, a year. It contains both performance and written sec- gross negligence or incompetence, gross immorality, tions. Of the 710 candidates examined in the year and unprofessional conduct. past, 545 passed. There are now approximately 12,000 The Board participates actively in the enforcement licensees. program-reviewing investigation reports, calling Code provisions and Board regulations relating to alleged offenders before it, issuing formal warnings, the several categories of permits and certificates are and acting on hearing officer recommendations. quite comprehensive in prescribing conditions and con- trols in connection with facilities, sanitation, security, BUREAU OF PRIVATE INVESTIGATORS and dispensing procedures, particularly as regards AND ADJUSTERS narcotic and dangerous drugs, poisons, hypodermic Background materials, and prophylactics. A retail pharmacy per- mit may, for example, be issued to any responsible Private detectives were licensed by the Board of person of good character, but a licensed pharmacist Prison Directors prior to 1947 at which time this ac- manager must be on duty in such an establishment at tivity was transferred to the Department of Profes- all times. A 1963 Act of the legislature provides that a sional and Vocational Standards and placed in a bu- physician may not own a pharmacy. (The Board is ap- reau rather than under a licensing board. pealing a recent superior court decision that this re- Functions striction does not apply to a corporation owned by a group of physicians.) The Bureau now licenses private investigators, pri- As already noted, special licenses are issued for vate patrol operators, insurance adjusters, and re- possessors. The primary purpose of the licensing is handling hypnotic drugs (e.g. sleeping pills), hypoder- protection of the public from fraud and deception on mics, and prophylactics. A retail pharmacy license the part of persons engaged in the investigative busi- conveys the right to sell these items. The drug whole- ness. saler license conveys the right to sell hypodermics, but not hypnotics or prophylactics. A "general dealer" Organization license is issued to country grocery stores, which al- There is no licensing board, advisory or otherwise. lows them to sell a few prepared drugs in addition to Because of the low volume of activity, a full-time bu- those sold by an ordinary grocery store. Itinerant reau head has not been employed in recent years-at vendors are licensed to sell non-prescription drugs present the Executive Secretary of the Board of door-to-door. There are no established qualification Chiropractic Examiners acts in that capacity, assisted standards for this, other than good character, the pur- by four office employees. DEPARTMENT OF PROFESSIONAL AND VOCATIONAL STANDARDS 47 Licensing CERTIFIED SHORTHAND REPORTERS BOARD Each person, partnership, or firm wishing to engage Functions in the subject business or vocations must apply for and The Certified Shorthand Reporters Board regulates obtain a license. Only one person-the regulations say the profession of shorthand reporter and certifies the the individual in charge of a firm's activities-need competency of its practitioners. The law requires all qualify by meeting the special requirements and suc- courts to use certified reporters with the provision that cessfully passing the examination given by the Bu- an uncertified reporter may be used when no certified reau. Other partners and officers must be identified reporter is available. and copies of their fingerprints submitted with the ap- plication. Employees who would be engaged in investi- Organization gative assignments are required to register, but not to obtain a license. This applies only to regularly em- The Board is comprised of five members appointed ployed staff, defined as persons who work for at least by the Governor and confirmed by the Senate for 30 uninterrupted days. Further, persons who work four-year overlapping terms. Two must be members of exclusively for such employers as a law firm or an the State Bar and three must be persons who hold insurance company need not be either licensed or certificates issued by the Board with five years' experi- registered. ence as shorthand reporters. Staff is shared on a pro In the past the Bureau has engaged under contract rata basis with three other licensing boards-Land- an examinations testing firm to develop and adminis- scape Architects, Veterinarians, and Yacht Brokers. ter examinations for the several categories on a quar- terly basis. Bureau personnel did not see the examina- Licensing tions, before or after they were administered; the test- The prerequisites for certification are age 21, U.S. ing service simply provided the Bureau with a list of citizenship (or declaration of intent), good moral char- those who took the exam and the grades received. The acter, high school education or equivalent, and one of next group of examinations to be given are being pre- several types of qualifying experience. Candidates are pared by the Examinations Consultant of the Depart- tested on their ability to receive and transcribe dicta- ment of Professional and Vocational Standards (on tion as well as their knowledge of grammar, punctua- loan from the State Personnel Board). A $25 fee is tion, and spelling. The full day examination is admin- charged for the examination and a person may take istered twice a year. The Board composes the practical it as many times as he wishes until he passes, paying portions of the examination and participates actively -the reexamination fee is $10. It was reported that in the examination process. the English portions of some have taken the examination as many as six or the examination are composed and graded by an ex- eight times. When the applicant is notified of the time amination service. The examination fee is $25; the and place of examination, he is given a packet of mate- original certificate fee and the biennial renewal fee rials to study and an outline of the subject matter of are $40. the examination and the weight to be given each sec- All license applications are reviewed by the staff; tion. From 60 to 80 per cent successfully pass the questionable applications are referred to the Board. examination. There is a requirement in the law that There is some question whether or not the provisions an applicant must have at least two years' prior quali- of the Administrative Procedure Act are applicable to fying experience for private investigator and insur- the denial of an application by the Board. In practice, ance adjuster and one year for private patrol opera- however, appeals from denied applicants are referred tor and repossessor. to an administrative hearing. The Bureau now licenses approximately 1,800 per- All but a few of the 450 candidates examined an- sons and firms. nually by the Board are stenotype operators. Ap- proximately 40% of all candidates are successful in Enforcement the examination. Grounds for disciplinary action against a licensee or Enforcement registrant include offenses involving dishonesty or The Board uses the services of the Division of fraud, impersonation of a law enforcement officer, re- Investigation. There are few disciplinary actions fusal to render agreed-upon services or reports to a against licensees; the bulk of enforcement activity client, undue use of force, and other such actions. being directed toward the restriction of the word The Bureau makes use of the Division of Investiga- "certified" to qualified persons. Use of the word tion to verify complaints regarding licensees and "certified" without having qualified is a misdemeanor registrants. The Bureau reviews investigative reports and persistent violators are referred to local district and takes whatever action judged appropriate, refer- attorneys for prosecution. Most revocations or sus- ring serious cases to the Attorney General for advice pensions result from violation of the good moral char- and possible action under the Administrative Proced- acter requirement. Disciplinary proceedings are taken ure Act. In the year ending June 30, 1966, a total of under the provisions of the Administrative Procedure 265 investigations were ordered; 12 hearings were con- Act. In fiscal year 1965-66 no such hearings took ducted resulting in 4 revocations and 4 suspensions. place. 48 AN EXAMINATION OF THE BOARD OF SOCIAL WORK EXAMINERS Organization Functions The Board is comprised of six members, five of The Board of Social Work Examiners examines whom must be Board licensed operators and one a and grants certificates of registration to social public representative. All are appointed by the Gov- workers. It is not a mandatory licensing program; ernor for four-year staggered terms. The Board ap- the preponderance of practicing social workers do not points, with the approval of the Department Director, meet the standards and thus are not registered with a registrar who heads a staff of 17 employees en- the Board. The certificate issued by the Board entitles gaged in the processing of licenses and inspection a person to style himself a Registered Social Worker reports. and to use the letters RSW in connection with his name, thus identifying himself to the public as hav- Licensing ing met the state-set standards. No person can engage in structural pest control work unless he is licensed by the Board, thus this Organization is a mandatory licensing program prescribed by law. The Board is comprised of seven members appointed Several categories of licenses are issued, depending by the Governor for four-year overlapping terms. At on the type of work to be performed. An applicant least two members must represent the public and for an operators license must provide the Board with the rest must be licensees of the Board with at least specific information concerning his business associates five years of social work experience. The law provides and place of business and, depending on the category that the Executive Secretary appointed by the Board of license, show two to four years' experience in pest must also be a licensee of the Board. control work. An examination is given covering per- tinent laws and theories, practices, and techniques of pest control. Licensing Applicants for Field Representative licenses must The law requires only that an applicant for certi- furnish, in addition to information on previous em- fication be a U.S. citizen and pass the licensure ex- ployment and experience, a statement from employers amination. By regulation, the Board has further pro- or others as to "honesty, truthfulness, and good repu- vided that an applicant must possess a master's de- tation. As in the case of licensing operators an gree in social work and have completed at least two examination is given, covering much the same subject years of graduate study. matter. Once licensed, a field representative must Regular examinations are scheduled in most major notify the Board of any changes in employment. cities of the State, twice per year. Special examina- Examination material is developed by an "examin- tions are administered any place or time, inside or ations commission" engaged for this purpose on an outside of the State, that three or more candidates as-needed basis with the Board reviewing the ma- wish to take the test. From 150 to 200 candidates terial prior to its inclusion in the examination. The are examined annually of which over 95 per cent are Cooperative Personnel Service of the State Personnel successful. The current examination was composed by Board is hired to finally prepare and grade the a special committee in 1963. It is graded by the Board examination booklets but the Board administers the staff. Fees consist of a $10 application fee and a $10 examinations. In the year past 994 persons were annual renewal fee. There are approximately 3,400 tested, 345 of whom received passing grades. At pres- licensees in the State at this time. ent there are 1,200 operator and 1,540 field repre- sentative licenses. Enforcement There is not active enforcement program in that Special Services very few complaints are received or offenses re- The Board receives and maintains reports of all ported-none during fiscal year 1965-66. The law structural pest inspections, copies of which are sold provides that a license may be revoked for moral to the public-this is a well-used service. turpitude, fraud, sedition, and other causes but the Board has no investigative program to uncover such Enforcement actions. Any disciplinary actions which do arise as The enforcement program is a relatively strict and a result of citizen complaints must be heard under comprehensive one. In the 1965-66 fiscal year, for the provisions of the Administrative Procedure Act. example, there were 98 license suspensions and 19 One license has been revoked under this procedure revocations. Minor infractions are settled informally during the last ten years. by the Board and major ones processed through the Office of Administrative Procedure with the Office STRUCTURAL PEST CONTROL BOARD of the Attorney General acting as counsel for the Board. The Board makes full use of the services of Functions the Division of Investigations; in the past year it The Structural Pest Control Board licenses Struc- referred nearly 850 complaints for such investiga- tural Pest Control Operators and Field Representa- tion. The grounds for disciplinary action set forth tives and regulates licensees in accordance with the in the code include all of those found in most licens- governing code provisions. ing acts as well as failure of a licensee fully to DEPARTMENT OF PROFESSIONAL AND VOCATIONAL STANDARDS 49 conform with the terms of contracts executed with Enforcement clients, negligence, and misrepresentation. Each of the 950 registered animal hospitals is in- In part because of code provisions relating to work- spected on an average of once per year, by personnel manship, prices, and performance according to con- of the Division of Investigation. Inspectors typically tracts, the Board functions in the role of a conciliator examine sanitary conditions and the degree of com- in processing many complaints. In these cases the pliance with code provisions and Board rules and operator generally complies with suggestions to cor- regulations. As a result of infractions discovered dur- rect any deficiencies in his performance rather than ing these inspections the Board may issue warnings face formal disciplinary proceedings. or order a more intensive investigation. Infractions Operators are required to post a $2,000 surety involve sanitary deficiencies, fraud, deceit, negligence, bond and to carry insurance in the minimum amount incompetence, drunkenness, the improper use of drugs of $25,000 bodily injury and $25,000 property dam- and conduct reflecting unfavorably on the profession. age. After a license suspension, an operator must also Serious or repeated violations may result in the sus- post an additional bond of from $1,000 to $8,000, pension or revocation of a license, after a hearing depending on the seriousness of the violation leading conducted under the provisions of the Administrative to the suspension. Procedure Act. BOARD OF EXAMINERS IN VETERINARY BOARD OF VOCATIONAL NURSE EXAMINERS MEDICINE Functions Functions The Board of Vocational Nurse Examiners examines The Board of Examiners in Veterinary Medicine and licenses vocational nurses and psychiatric techni- examines and licenses qualified persons to practice cians. The duties of a psychiatric technician are simi- veterinary medicine and regulates such practice. The lar to those of a vocational nurse, except that they Board is also charged with the inspection and regis- specialize in the care of mentally ill and retarded tration of all premises where veterinary medicine patients. is carried out. Licensing of psychiatric technicians was instituted in 1959 and then suspended in 1963 due to a lack of Organization funds to administer the program. The program was re- The Board is comprised of six members appointed activated on a trial basis in 1965; in 1968 the Legis- by the Governor for four-year overlapping terms. lature will re-evaluate the financial condition of the Five of the members must be veterinarians who have program and determine whether it will be extended. been residents of, and engaged in the practice of veterinary medicine in, California for at least five Organization years prior to appointment. The sixth is a public The Board is comprised of eleven members ap- member. No two members may reside in the same pointed by the Governor for four-year overlapping congressional district. Staff is shared on a pro rata terms. Five members must be licensed vocational basis with three other boards-Landscape Architects, nurses, two certified psychiatric technicians, one phy- Shorthand Reporters, and Ship and Yacht Brokers. sician and surgeon, one registered nurse with experi- ence as a teacher or administrator, one hospital ad- Licensing ministrator, and one public school administrator. The The Board conducts semiannual examinations which vocational nurse staff consists of an Executive Secre- include theoretical and practical sections. The former tary ( ³ time), an administrative assistant ( & time), is part of a standard examination composed and two nursing education consultants, and five office per- graded by the Professional Examination Service, a sonnel; the psychiatric staff consists of the Executive division of the American Public Health Association. Secretary (1 time), administrative assistant (1 The two day practical portion of the test is prepared time), one nursing education consultant and one office by the Board and administered and graded by the worker. The Executive Secretary is required by law Board and staff. Some 200 candidates are examined to be either a registered nurse or else a licensed voca- each year, with approximately 80 per cent passing. tional nurse. There are now 2,642 licenses in effect. There is a $30 application fee and $35 license and biennial renewal Licensing fee. The requirements for licensure as a Licensed Voca- To qualify for a veterinary license an applicant tional Nurse are age 17, citizen of U.S. or declaration must demonstrate that he is of good moral character of intention, equivalent of a tenth grade education, and be a graduate of a veterinary college recognized good character, and completion of a 12-month accred- and approved by the Board. Application denial pro- ited course in vocational nursing or the equivalent. ceedings are conducted under the provisions of the The Board's interpretation of the latter requirement, Administrative Procedure Act, although the Board until recently, limited candidates to graduation from is not required by law to do.so. same type of vocational nursing school. This year the All veterinary premises must be registered with Board adopted a policy that six and one-half years the Board, for which a fee of $10 is assessed. of paid nursing experience is qualifying. There has, 50 AN EXAMINATION OF THE therefore, been a large increase in the number of ap- Enforcement plicants 1,350 applications were accepted for the Oc- The Board uses the services of the Division of In- ber, 1966 examination. In recent years the Board has vestigation. A small percentage of enforcement work examined from 1,500 to 2,000 candidates annually, the is devoted to restriction of the unlicensed use of the examination given at roughly four-month intervals. title Licensed Vocational Nurse. Most enforcement ac- The application fee for the Licensed Vocational Nurse examination is $15. A candidate who fails the exami- tivity involves background investigations of licensees nation may take it twice more at a cost of $5 per test or applicants to determine compliance with the good character requirement. All disciplinary actions are and after a third failure must take or repeat an ac- conducted under the provision of the Administrative credited course before again being re-examined. The Procedure Act. biennial license renewal fee is $15. The requirements for licensure (certification) as a YACHT AND SHIP BROKERS COMMISSION psychiatric technician are age 19, citizen of U.S. or declaration of intention, equivalent of a twelfth-grade Functions education, good character, and completion of a 12- The Yacht and Ship Brokers Commission licenses month accredited course or the equivalent. In regard and regulates brokers and salesmen who, for others, to the latter requirement, there are now no courses ac- sell, purchase, rent, lease, charter, or negotiate loans credited by the Board. The staff training programs at on yachts or ships. several State mental hospitals are now under consider- ation for accreditation. The Board has set the equiva- Organization lent to the required training course at two years' em- ployment in a psychiatric nursing unit. The Commission is comprised of five members ap- pointed by the Governor for four-year overlapping Both licensed vocational nurses and psychiatric terms. Four of the members must be persons who have technicians are required to take licensure examina- for a period of not less than five years preceding the tions. The licensed vocational nurse examination is a date of their appointment been actively engaged and standardized national test composed and graded by the licensed as yacht and ship brokers. The fifth is a public American Nurses' Association and the National member. Staff is shared on a pro rata basis with three League for Nursing in cooperation with the various other licensing boards-Landscape Architects, Veter- state licensing boards. Each state board establishes its inarians, and Shorthand Reporters. own passing score. The examination is revised every two years. The failure percentage tends to decline Licensing from about 14 per cent when the test is first adminis- tered to 6 per cent the sixth time it is administered. The basic licenses issued by the Board are broker The Board grants licenses to qualified candidates licenses, salesmen licenses, and broker branch office. from other states without examination if they had at- The prerequisites for licensure as a broker are age 21, tained a passing score on the national examination good moral character, and one of several types of ship- equal to that set for California applicants. ping or ship sales related experience. The qualifica- No standardized examination is available for psy- tions for a salesman are age 21 and good moral char- acter. An application for a broker's license must be chiatric technicians because no other state has a psy- chiatric technician licensing program. When the Board accompanied by two character references from yacht brokers or real estate brokers of the county in which began licensing psychiatric technicians in 1959, it adopted a variation of the State Department of Men- the applicant resides. The Commission is not required by law to refer application denial appeals to an ad- tal Hygiene's comprehensive examination for psychia- tric technicians. The examination is now in need of ministrative hearing, but in practice does SO. revision. Because some of the Department of Mental Both brokers and salesmen are required to take ex- Hygiene's training courses may shortly be accredited aminations, composed by the Commission, which cover by the Board, it is no longer considered desirable to basic questions on the law of principle and agency, use examinations prepared by that institution. The sales tax regulations, boating regulations, Yacht and failure rate for the current examination is three per Ship Brokers Act provisions, and marine terminology. cent. The psychiatric technician application and an- Approximately 200 candidates per year are examined nual license renewal fees are both $10. with an average of 65 per cent passing. There are now 680 outstanding broker, salesman, and branch The Board is not required by law to conduct license office licenses. The examination fee for both broker denial proceedings under the provisions of the Ad- and salesman is $15. The original license fees are: ministrative Procedure Act; in practice, however, broker, $100; salesman, $25; and branch office $10; denial proceedings involving the applicant's character annual renewal fees are: broker, $25; salesman, $15; are SO conducted. and branch office, $10. The Board is responsible for the accreditation of Licensed salesmen must work for a licensed broker vocational nursing schools of which there are 65 in California-all associated with hospitals and other and a salesman's license is automatically cancelled health agencies. Background work for accreditation is when he leaves the employ of a broker. Through pay- performed by the Board's two full-time nursing edu- ment of a $5 fee a license may be reinstated under cation consultants. another broker. DEPARTMENT OF PROFESSIONAL AND VOCATIONAL STANDARDS 51 Enforcement equally between licensed and unlicensed activities. Yacht and ship brokers are frequently required to Disciplinary actions are taken under the Administra- act in a fiduciary capacity for their clients and thus tive Procedure Act. are required to post a $2,500 surety bond with the Two actions by the Commission against the surety Commission. Any person injured by the actions of a in the last year resulted in $5,000 being distributed to broker may bring action against this bond. members of the public who were financially harmed The Commission uses the services of the Division of in their dealing with brokers, who subsequently sur- Investigation. Enforcement work is divided about rendered their licenses. o printed in CALIFORNIA OFFICE OP STATE PRINTING 75323-404 8-67 2M y