6 responses to findings and recommendations
F01
Performance indicators of jail functioning presented in a dashboard display accessible to the public over the internet improve jail functioning and promotes transparency and accountability. Fact: SDSO policy requires a nurse to conduct a face-to-face interview with an incarcerated person within twenty-four hours of submission of a request for medical/mental health services. Fact: SDSO officials estimate only 75% to 85% of requests for medical/mental health services are followed up within twenty-...
Response: Agree
Score: +1
The County of San Dicgo agrees with this finding for itself but cannot respond on behalf of other agencies. The County of San Diego increased resources to County Fire in the Recommended Operational Plan for Fiscal Years 2025-27 to respond to wildfires in the unincorporated areas.
F02
SDSO lacks performance indicators of medical/mental health services requests displayed in a dashboard accessible to the public which, if implemented, should improve response time to requests for services and decrease health acuity and deaths. Fact: SDSO established an MAT module at the Vista Detention Facility in January 2023. Fact: Since the establishment of MAT programming in January 2023 total suspected opioid overdoses have decreased significantly. Fact: Incarcerated persons throughout the S...
Response: Agree
Score: +1
The County of San Diego agrees with this finding for itself but cannot respond on behalf of other agencies.
R2
Develop system-wide jail metrics to be used as performance indicators for CQI purposes targeting MAT programming.
Response: Requires Analysis
Score: 0
This recommendation requires further analysis. The County of San Diego cannot respond on behalf of other agencies. Every three years the San Diego County Consolidated Fire Code is updated. To promote consistency across the unincorporated area, San Diego County Fire leads recurring meetings of fire protection district fire marshals to minimize fire code differences between agencies. In 2025, San Diego County Fire will explore this recommendation with the fire marshals, but it will be up to each independent fire protection district to take action. Recommendation R3: Increase cooperation with FPD...
F03
No metrics are being collected by the SDSO to be used as performance indicators for CQI purposes targeting MAT programming which, if implemented, may decrease mortality and high-risk behaviors and move individuals toward recovery. Fact: SDSO grievance policies and procedures are consistent with the California Code of Regulations, Title 15, Minimum Standards for Local Detention Facilities. Fact: Healthcare grievances are one of the 286 performance indicators which appear on the CDCR/CCHCS dashboa...
Response: Agree
Score: +1
The County of San Diego agrees with this finding for itself but cannot respond on behalf of other agencies.
R3
Develop system-wide jail metrics to be used as performance indicators for CQI purposes targeting incarcerated persons grievances.
Response: Requires Analysis
Score: 0
This recommendation requires further analysis. The County of San Diego cannot respond on behalf of other agencies, including the California Department of Insurance, which has jurisdiction over access to fire insurance. In 2025, San Diego County Fire will engage with independent fire protection districts on opportunities to increase home hardening standards and home inspections, but it will be up to each independent fire protection district to take action.
F04
SDSO does not collect metrics targeting grievances for CQI purposes which if implemented, could provide management with a review of SDSO policies, conditions, or omissions that have an adverse effect on the health, safety, and welfare of incarcerated persons. Fact: SDSO’s policies and procedures for conducting and reviewing safety checks are consistent with California Code of Regulations, Title 15 requirements. Fact: At the facility commander level, the SDSO review of safety checks is not a comp...
Response: Agree
Score: +1
The County of San Diego agrees with the finding that these initiatives enhance community fire safety, but the County cannot respond on behalf of the California Department of Insurance, which has jurisdiction over access to fire insurance.
ATTACHMENT A RECOMMENDATIONS The 2024-2025 San Diego County Grand Jury recommends that San Diego County Fire: Recommendation R1: Explore consolidation of additional willing FPDs to improve overall efficiency and community safety Response: This recommendation requires further analysis. The County of San Diego cannot respond on behalf of other agencies. Consol...
