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It is believed that there are many other such facilities, which won't be
inspected by relevant authorities unless problems come to light. Officials say it is
impossible to know about the operations of such facilities unless they register
voluntarily. Officials of the prefectural governments with unregistered nursing
homes cite the difficulty in getting those facilities to sigh up. Under the current
law, nursing home operators can be fined up to 300,000 yen for failing to register
with their prefecture. However, some operators are willing to risk the fine in
order to avoid coming under administrative control, which could be costly if it
leads to forced remodeling or service improvements, the officials said.
Kunio Takami, president of the Alzheimer's Association Japan, said the
recent reports of alleged abuse at the Urayasu facility points to the social
contradictions in this country. "Generally speaking, the best defense against
those problem business operators is for families (with elderly members) not to
use such facilities. However, the truth is that many families have no choice but
to rely on unregistered nursing facilities, which may be inexpensive but offer
poor-quality service.
Fall has created a formidable niche for herself on the Tokyo scene, as a trendspotter who can write. Quite how she fits in
being everywhere and knowing everyone before the mainstream catches on, is one of life's mysteries.
Especially when you consider she has a family (husband met here) and two small children (Eden 5, Raffy 3).
"It became natural for people to ring me up when passing through Tokyo to ask where they should go and what to see.
"Then I realized that other people were charging for such information. When I met Spreckley,
I told him, and we began thinking about how to pool our resources."
Spreckley, too, had been at the receiving end of appeals for guidance
-- from TV companies and other personal and business contacts. It was natural to want to help, but meeting Fall helped him to refocus.