San Mateo County Grand Jury • 2004-2005

Issue | Background | Findings | Conclusions | Recommendations | Responses | Attachments Review of Special Districts

Published: January 01, 2006 197 pages Consolidated Report
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Findings 5 findings

F1 Page 1
Regarding the implementation of a written document defining the District’s purposes and communicating this to homeowners and residents in the District. The Sequoia Healthcare District’s mission and vision is documented within the District’s policies and procedures, and publicized on the home page of our website. As of the summer of 2004, we initiated a comprehensive information program utilizing community newsletters, presentations to community and civic and governmental groups, along with regular updates to our Web site. The information conveyed includes the District’s purposes, as well as its mission and vision. Additionally, the District’s purposes are defined and documented in the Health and Safety Codes Sections 32000- 32492, (The Local Health Care District Law) the body of law that governs all California Health Care Districts.
F2 Page 2
Regarding the recommendation to update or complete a policy and procedures manual. The Sequoia Healthcare District has a complete policy and procedure manual, available on the District’s website: http://www.sequoiahealthcaredistrict.com/p&p.pdf
F3 Page 2
Regarding insuring all computer systems adhere to good security practices and the recommendation to contact the County’s Information Systems Department for standards and recommendations. The Sequoia Healthcare District’s computer systems adhere to the highest degree of security practices. Due to the District’s office location at Sequoia Hospital, it is necessary and required that the District’s IT systems adhere to the same stringent security standards and practices as the acute health care facility in which our offices reside.
F4 Page 2
Regarding the expansion of financial reporting to include information about reserves: why they are maintained, rationale for and amounts of planned expenditure(s). Beginning the fiscal year ending June 30, 2004, the District’s annual audited financial statements are supplemented with a Management’s Discussion and Analysis (MD&A). The MD&A in and of itself is an expansion of the financial reporting, which includes information about the District’s reserves. This report and the audited financial statements are available on the District’s website at http://www.sequoiahealthcaredistrict.com/fiscalreport.html. Additionally, during its annual budget review, the Sequoia Healthcare District will discuss the coming year’s budget with consideration given to maintaining appropriate reserves and positive operational cash flow while meeting emerging healthcare needs of the community. Such discussions are open to the public and documented in the minutes, also available on the District’s website at http://www.sequoiahealthcaredistrict.com/boardmeetings.html.
F5 Page 3
Regarding development of guidelines for the amount of invested reserves needed for support of current operations, as well as anticipated capital programs utilizing the experience and expertise of the County Treasurer. Following its recent long-range financial planning process, the Sequoia Healthcare District adopted a budget that will be reviewed annually, with consideration given to maintaining appropriate reserves and positive operational cash flow while meeting the emerging healthcare needs of the community, which include supporting the rebuild of Sequoia Hospital to meet new mandated seismic standards. The District will continue to utilize the experience and expertise of its financial consultant, Ms. Tammy Staeden, to support the District’s long-range and ongoing financial planning processes. Ms. Staeden is a Manager from HFS Consultants (HFS), with over nine years’ experience in health care finance. Ms. Staeden has specific expertise in financial feasibility studies, budgeting, and forecasting techniques. She has particular knowledge of acute care hospitals, skilled nursing facilities and rural health clinics. She has provided financial consulting services to a wide range of health care clients and also has experience in general accounting roles and is proficient in various software programs. Ms. Staeden is a member of the Healthcare Financial Management Association. West Bay Sanitary District 500 Laurel Street, Menlo Park, CA 94025 (650) 321-0384 /Fax (650) 321-4265 1591.1 August 23, 2005 Honorable Norman J. Gatzert Judge of the Superior Court Hall of Justice 400 County Center, 2nd Floor Redwood City, CA 94063-1655 RE: Review of Special District Report Dear Judge Gatzert: At its regular meeting of August 22, 2005, the Honorable Members of the District Board of the West Bay Sanitary District reviewed the Special District Report prepared by the Grand Jury of San Mateo County. The District Board has instructed me to convey the following comments related to the Grand Jury’s recommendations and other matters.

Recommendations 1

Conclusions 11

No Responses Found 2

Government entities assigned to respond to this report. No response documents have been linked in our database.

Coastside Fire Protection District Fire District
Highlands Recreation Community Services District Special District