To the People of San Luis Obispo County This Final Report is presented to you by the 2003-2004 San Luis Obispo County
⚠️ Translation Notice: This content has been automatically translated. The original English text is the official version. Translation may contain errors.
⚠️ Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.
Note: Missing finding numbers detected: F9, F10, F11, F12, F13, F14, F15, F16, F17, F18, F19, F20, F21, F22, F23, F24, F25, F26, F27, F28, F29, F30, F31, F32, F33, F34, F35, F36, F37, F38, F39, F40, F41, F42, F43, F44, F45, F46, F47, F48, F49, F50, F51, F52, F53, F54, F55, F56, F57, F58, F59, F60, F61, F62, F63, F64, F65, F66, F67, F68, F69, F70, F71, F72, F73, F74, F75, F76, F77, F78, F79, F80, F81, F82, F83, F84, F85, F86, F87, F88, F89, F90, F91, F92, F93, F94, F95, F96, F97, F98, F99, F100, F101, F102, F103, F104, F105, F106, F107, F108, F109, F110, F111, F112, F113, F114, F115, F116, F117, F118, F119, F120, F121, F122, F123, F124, F125, F126, F127, F128, F129, F130, F131, F132, F133, F134, F135, F136, F137, F138, F139, F140, F141, F142, F143, F144, F145, F146, F147, F148, F149, F150, F151, F152, F153, F154, F155, F156, F157, F158, F159, F160, F161, F162, F163, F164, F165, F166, F167, F168, F169, F170, F171, F172, F173, F174, F175, F176, F177, F178, F179, F180, F181, F182, F183, F184, F185, F186, F187, F188, F189, F190, F191, F192, F193, F194, F195, F196, F197, F198, F199, F200, F201, F202, F203, F204, F205, F206, F207, F208, F209, F210, F211, F212, F213, F214, F215, F216, F217, F218, F219, F220, F221, F222, F223, F224, F225, F226, F227, F228, F229, F230, F231, F232, F233, F234, F235, F236, F237, F238, F239, F240, F241, F242, F243, F244, F245, F246, F247, F248, F249, F250, F251, F252, F253, F254, F255, F256, F257, F258, F259, F260, F261, F262, F263, F264, F265, F266, F267, F268, F269, F270, F271, F272, F273, F274, F275, F276, F277, F278, F279, F280, F281, F282, F283, F284, F285, F286, F287, F288, F289, F290, F291, F292, F293, F294, F295, F296, F297, F298, F299, F300, F301, F302, F303, F304, F305, F306, F307, F308, F309, F310, F311, F312, F313, F314, F315, F316, F317, F318, F319, F320, F321, F322, F323, F324, F325, F326, F327, F328, F329, F330, F331, F332, F333, F334, F335, F336, F337, F338, F339, F340, F341, F342, F343, F344, F345, F346, F347, F348, F349, F350, F351, F352, F353, F354, F355, F356, F357, F358, F359, F360, F361, F362, F363, F364, F365, F366, F367, F368, F369, F370, F371, F372, F373, F374, F375, F376, F377, F378, F379, F380, F381, F382, F383, F384, F385, F386, F387, F388, F389, F390, F391, F392, F393, F394, F395, F396, F397, F398, F399, F400, F401, F402, F403, F404, F405, F406, F407, F408, F409, F410, F411, F412, F413, F414, F415, F416, F417, F418, F419, F420, F421, F422, F423, F424, F425, F426, F427, F428, F429, F430, F431, F432, F433, F434, F435, F436, F437, F438, F439, F440, F441, F442, F443, F444, F445, F446, F447, F448, F449, F450, F451, F452, F453, F454, F455, F456, F457, F458, F459, F460, F461, F462, F463, F464, F465, F466, F467, F468, F469, F470, F471, F472, F473, F474, F475, F476, F477, F478, F479, F480, F481, F482, F483, F484, F485, F486, F487, F488, F489, F490, F491, F492, F493, F494, F495, F496, F497, F498, F499, F500, F501, F502, F503, F504, F505, F506, F507, F508, F509, F510, F511, F512, F513, F514, F515, F516, F517, F518, F519, F520, F521, F522, F523, F524, F525, F526, F527, F528, F529, F530, F531, F532, F533, F534, F535, F536, F537, F538, F539, F540, F541, F542, F543, F544, F545, F546, F547, F548, F549, F550, F551, F552, F553, F554, F555, F556, F557, F558, F559, F560, F561, F562, F563, F564, F565, F566, F567, F568, F569, F570, F571, F572, F573, F574, F575, F576, F577, F578, F579, F580, F581, F582, F583, F584, F585, F586, F587, F588, F589, F590, F591, F592, F593, F594, F595, F596, F597, F598, F599, F600, F601, F602, F603, F604, F605, F606, F607, F608, F609, F610, F611, F612, F613, F614, F615, F616, F617, F618, F619, F620, F621, F622, F623, F624, F625, F626, F627, F628, F629, F630, F631, F632, F633, F634, F635, F636, F637, F638, F639, F640, F641, F642, F643, F644, F645, F646, F647, F648, F649, F650, F651, F652, F653, F654, F655, F656, F657, F658, F659, F660, F661, F662, F663, F664, F665, F666, F667, F668, F669, F670, F671, F672, F673, F674, F675, F676, F677, F678, F679, F680, F681, F682, F683, F684, F685, F686, F687, F688, F689, F690, F691, F692, F693, F694, F695, F696, F697, F698, F699, F700, F701, F702, F703, F704, F705, F706, F707, F708, F709, F710, F711, F712, F713, F714, F715, F716, F717, F718, F719, F720, F721, F722, F723, F724, F725, F726, F727, F728, F729, F730, F731, F732, F733, F734, F735, F736, F737, F738, F739, F740, F741, F742, F743, F744, F745, F746, F747, F748, F749, F750, F751, F752, F753, F754, F755, F756, F757, F758, F759, F760, F761, F762, F763, F764, F765, F766, F767, F768, F769, F770, F771, F772, F773, F774, F775, F776, F777, F778, F779, F780, F781, F782, F783, F784, F785, F786, F787, F788, F789, F790, F791, F792, F793, F794, F795, F796, F797, F798, F799, F800, F801, F802, F803, F804, F805, F806, F807, F808, F809, F810, F811, F812, F813, F814, F815, F816, F817, F818, F819, F820, F821, F822, F823, F824, F825, F826, F827, F828, F829, F830, F831, F832, F833, F834, F835, F836, F837, F838, F839, F840, F841, F842, F843, F844, F845, F846, F847, F848, F849, F850, F851, F852, F853, F854, F855, F856, F857, F858, F859, F860, F861, F862, F863, F864, F865, F866, F867, F868, F869, F870, F871, F872, F873, F874, F875, F876, F877, F878, F879, F880, F881, F882, F883, F884, F885, F886, F887, F888, F889, F890, F891, F892, F893, F894, F895, F896, F897, F898, F899, F900, F901, F902, F903, F904, F905, F906, F907, F908, F909, F910, F911, F912, F913, F914, F915, F916, F917, F918, F919, F920, F921, F922, F923, F924, F925, F926, F927, F928, F929, F930, F931, F932, F933, F934, F935, F936, F937, F938, F939, F940, F941, F942, F943, F944, F945, F946, F947, F948, F949, F950, F951, F952, F953, F954, F955, F956, F957, F958, F959, F960, F961, F962, F963, F964, F965, F966, F967, F968, F969, F970, F971, F972, F973, F974, F975, F976, F977, F978, F979, F980, F981, F982, F983, F984, F985, F986, F987, F988, F989, F990, F991, F992, F993, F994, F995, F996, F997, F998, F999, F1000, F1001, F1002, F1003, F1004, F1005, F1006, F1007, F1008, F1009, F1010, F1011, F1012, F1013, F1014, F1015, F1016, F1017, F1018, F1019, F1020, F1021, F1022, F1023, F1024, F1025, F1026, F1027, F1028, F1029, F1030, F1031, F1032, F1033, F1034, F1035, F1036, F1037, F1038, F1039, F1040, F1041, F1042, F1043, F1044, F1045, F1046, F1047, F1048, F1049, F1050, F1051, F1052, F1053, F1054, F1055, F1056, F1057, F1058, F1059, F1060, F1061, F1062, F1063, F1064, F1065, F1066, F1067, F1068, F1069, F1070, F1071, F1072, F1073, F1074, F1075, F1076, F1077, F1078, F1079, F1080, F1081, F1082, F1083, F1084, F1085, F1086, F1087, F1088, F1089, F1090, F1091, F1092, F1093, F1094, F1095, F1096, F1097, F1098, F1099, F1100, F1101, F1102, F1103, F1104, F1105, F1106, F1107, F1108, F1109, F1110, F1111, F1112, F1113, F1114, F1115, F1116, F1117, F1118, F1119, F1120, F1121, F1122, F1123, F1124, F1125, F1126, F1127, F1128, F1129, F1130, F1131, F1132, F1133, F1134, F1135, F1136, F1137, F1138, F1139, F1140, F1141, F1142, F1143, F1144, F1145, F1146, F1147, F1148, F1149, F1150, F1151, F1152, F1153, F1154, F1155, F1156, F1157, F1158, F1159, F1160, F1161, F1162, F1163, F1164, F1165, F1166, F1167, F1168, F1169, F1170, F1171, F1172, F1173, F1174, F1175, F1176, F1177, F1178, F1179, F1180, F1181, F1182, F1183, F1184, F1185, F1186, F1187, F1188, F1189, F1190, F1191, F1192, F1193, F1194, F1195, F1196, F1197, F1198, F1199, F1200, F1201, F1202, F1203, F1204, F1205, F1206, F1207, F1208, F1209, F1210, F1211, F1212, F1213, F1214, F1215, F1216, F1217, F1218, F1219, F1220, F1221, F1222, F1223, F1224, F1225, F1226, F1227, F1228, F1229, F1230, F1231, F1232, F1233, F1234, F1235, F1236, F1237, F1238, F1239, F1240, F1241, F1242, F1243, F1244, F1245, F1246, F1247, F1248, F1249, F1250, F1251, F1252, F1253, F1254, F1255, F1256, F1257, F1258, F1259, F1260, F1261, F1262, F1263, F1264, F1265, F1266, F1267, F1268, F1269, F1270, F1271, F1272, F1273, F1274, F1275, F1276, F1277, F1278, F1279, F1280, F1281, F1282, F1283, F1284, F1285, F1286, F1287, F1288, F1289, F1290, F1291, F1292, F1293, F1294, F1295, F1296, F1297, F1298, F1299, F1300, F1301, F1302, F1303, F1304, F1305, F1306, F1307, F1308, F1309, F1310, F1311, F1312, F1313, F1314, F1315, F1316, F1317, F1318, F1319, F1320, F1321, F1322, F1323, F1324, F1325, F1326, F1327, F1328, F1329, F1330, F1331, F1332, F1333, F1334, F1335, F1336, F1337, F1338, F1339, F1340, F1341, F1342, F1343, F1344, F1345, F1346, F1347, F1348, F1349, F1350, F1351, F1352, F1353, F1354, F1355, F1356, F1357, F1358, F1359, F1360, F1361, F1362, F1363, F1364, F1365, F1366, F1367, F1368, F1369, F1370, F1371, F1372, F1373, F1374, F1375, F1376, F1377, F1378, F1379, F1380, F1381, F1382, F1383, F1384, F1385, F1386, F1387, F1388, F1389, F1390, F1391, F1392, F1393, F1394, F1395, F1396, F1397, F1398, F1399, F1400, F1401, F1402, F1403, F1404, F1405, F1406, F1407, F1408, F1409, F1410, F1411, F1412, F1413, F1414, F1415, F1416, F1417, F1418, F1419, F1420, F1421, F1422, F1423, F1424, F1425, F1426, F1427, F1428, F1429, F1430, F1431, F1432, F1433, F1434, F1435, F1436, F1437, F1438, F1439, F1440, F1441, F1442, F1443, F1444, F1445, F1446, F1447, F1448, F1449, F1450, F1451, F1452, F1453, F1454, F1455, F1456, F1457, F1458, F1459, F1460, F1461, F1462, F1463, F1464, F1465, F1466, F1467, F1468, F1469, F1470, F1471, F1472, F1473, F1474, F1475, F1476, F1477, F1478, F1479, F1480, F1481, F1482, F1483, F1484, F1485, F1486, F1487, F1488, F1489, F1490, F1491, F1492, F1493, F1494, F1495, F1496, F1497, F1498, F1499, F1500, F1501, F1502, F1503, F1504, F1505, F1506, F1507, F1508, F1509, F1510, F1511, F1512, F1513, F1514, F1515, F1516, F1517, F1518, F1519, F1520, F1521, F1522, F1523, F1524, F1525, F1526, F1527, F1528, F1529, F1530, F1531, F1532, F1533, F1534, F1535, F1536, F1537, F1538, F1539, F1540, F1541, F1542, F1543, F1544, F1545, F1546, F1547, F1548, F1549, F1550, F1551, F1552, F1553, F1554, F1555, F1556, F1557, F1558, F1559, F1560, F1561, F1562, F1563, F1564, F1565, F1566, F1567, F1568, F1569, F1570, F1571, F1572, F1573, F1574, F1575, F1576, F1577, F1578, F1579, F1580, F1581, F1582, F1583, F1584, F1585, F1586, F1587, F1588, F1589, F1590, F1591, F1592, F1593, F1594, F1595, F1596, F1597, F1598, F1599, F1600, F1601, F1602, F1603, F1604, F1605, F1606, F1607, F1608, F1609, F1610, F1611, F1612, F1613, F1614, F1615, F1616, F1617, F1618, F1619, F1620, F1621, F1622, F1623, F1624, F1625, F1626, F1627, F1628, F1629, F1630, F1631, F1632, F1633, F1634, F1635, F1636, F1637, F1638, F1639, F1640, F1641, F1642, F1643, F1644, F1645, F1646, F1647, F1648, F1649, F1650, F1651, F1652, F1653, F1654, F1655, F1656, F1657, F1658, F1659, F1660, F1661, F1662, F1663, F1664, F1665, F1666, F1667, F1668, F1669, F1670, F1671, F1672, F1673, F1674, F1675, F1676, F1677, F1678, F1679, F1680, F1681, F1682, F1683, F1684, F1685, F1686, F1687, F1688, F1689, F1690, F1691, F1692, F1693, F1694, F1695, F1696, F1697, F1698, F1699, F1700, F1701, F1702, F1703, F1704, F1705, F1706, F1707, F1708, F1709, F1710, F1711, F1712, F1713, F1714, F1715, F1716, F1717, F1718, F1719, F1720, F1721, F1722, F1723, F1724, F1725, F1726, F1727, F1728, F1729, F1730, F1731, F1732, F1733, F1734, F1735, F1736, F1737, F1738, F1739, F1740, F1741, F1742, F1743, F1744, F1745, F1746, F1747, F1748, F1749, F1750, F1751, F1752, F1753, F1754, F1755, F1756, F1757, F1758, F1759, F1760, F1761, F1762, F1763, F1764, F1765, F1766, F1767, F1768, F1769, F1770, F1771, F1772, F1773, F1774, F1775, F1776, F1777, F1778, F1779, F1780, F1781, F1782, F1783, F1784, F1785, F1786, F1787, F1788, F1789, F1790, F1791, F1792, F1793, F1794, F1795, F1796, F1797, F1798, F1799, F1800, F1801, F1802, F1803, F1804, F1805, F1806, F1807, F1808, F1809, F1810, F1811, F1812, F1813, F1814, F1815, F1816, F1817, F1818, F1819, F1820, F1821, F1822, F1823, F1824, F1825, F1826, F1827, F1828, F1829, F1830, F1831, F1832, F1833, F1834, F1835, F1836, F1837, F1838, F1839, F1840, F1841, F1842, F1843, F1844, F1845, F1846, F1847, F1848, F1849, F1850, F1851, F1852, F1853, F1854, F1855, F1856, F1857, F1858, F1859, F1860, F1861, F1862, F1863, F1864, F1865, F1866, F1867, F1868, F1869, F1870, F1871, F1872, F1873, F1874, F1875, F1876, F1877, F1878, F1879, F1880, F1881, F1882, F1883, F1884, F1885, F1886, F1887, F1888, F1889, F1890, F1891, F1892, F1893, F1894, F1895, F1896, F1897, F1898, F1899, F1900, F1901, F1902, F1903, F1904, F1905, F1906, F1907, F1908, F1909, F1910, F1911, F1912, F1913, F1914, F1915, F1916, F1917, F1918, F1919, F1920, F1921, F1922, F1923, F1924, F1925, F1926, F1927, F1928, F1929, F1930, F1931, F1932, F1933, F1934, F1935, F1936, F1937, F1938, F1939, F1940, F1941, F1942, F1943, F1944, F1945, F1946, F1947, F1948, F1949, F1950, F1951, F1952, F1953, F1954, F1955, F1956, F1957, F1958, F1959, F1960, F1961, F1962, F1963, F1964, F1965, F1966, F1967, F1968, F1969, F1970, F1971, F1972, F1973, F1974, F1975, F1976, F1977, F1978, F1979, F1980, F1981, F1982, F1983, F1984, F1985, F1986, F1987, F1988, F1989, F1990, F1991, F1992, F1993, F1994, F1995, F1996, F1997, F1998, F1999, F2000, F2001, F2002
Findings and Recommendations 9 findings
Conclusions 10
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CL1"... a conflict of interest exists which would preclude the prosecution of the above-entitled matter by our office," 2) the "…case does not fit the strict traditional definition of a conflict of interest, but better judgment would indicate that an impartial review and prosecution of the case would be in the public interest due to the complex net of interactions that the fa- ther of the defendant has with members of our office," and 3) "We would appreciate it if your office would be kind enough to handle this matter to avoid any appearance of impropriety in the handling of this case by our office." The DA 's Office sent the file, containing only material related to this incident, to the AG after the AG agreed to take the case. The AG’s staff conducted their investigation, holding the case four months before determining that there were not sufficient grounds to file charges against the driver. We have incorporated in this summary the AG representatives' explanation to the GJ of some of their investigative process. On July 21, 2003 the AG met with the victim's family in SLO to apprise them of their decision to reject the case. Later that week the girl's mother called VW to request the DA re-review the case. Meanwhile the AG sent a letter to inform the DA of the decision. On August 19, 2003 the family and others came to meet with the DA and express their anger and frustration at the long delay of the filing decision. They also communicated their dissatisfaction with their lack of access to the Filing Deputy. The GJ received these same complaints in August. On September 3, 2003, two AG representatives came to the SLO County GJ Office. They stated this was a highly unusual action. They explained their decision to us and described what they did in reviewing the case. The AG does not consider the character, behavior, or prior infractions of a suspect unless it is relevant, or proves some fact, or is evidence that is usable to support a charge. 13 They stated that they had reviewed the case in light of practices typically applied to cases reviewed in the Los Angeles urban area, where the number of such cases is greater. They file only the most provable cases with aggravated circumstances. They said that they did not consider the possibility of successful prosecution in a less populous county, despite the fact that workload considerations vary greatly between the two jurisdictions. On May 4, 2003 a Deputy AG personally visited the site of the incident and interviewed the GB Police officer who responded to the 911 call. The AG staff considered whether sufficient evidence existed for filing charges against the driver. They cited these factors in making their decision:
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CL2the dark clothing worn by the victims
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CL3conflicting evidence that both girls were within the crosswalk at the time the vehicle struck the girls
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CL4that the driver’s speed was assumed to be within the posted speed limit, and
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CL5no evidence that the driver had consumed alcohol. They examined the cell phone records of the driver for calls made on the evening of the incident and determined that he was not talking on his cell phone at the time that his vehicle struck the two girls. They believed that the two victims might have been outside the crosswalk at the time the vehicle struck the girls. Because of the focused involvement of the GJ, the AG investigator returned to SLO to re-examine evidence during the week of August 25-29. They nevertheless concluded that, in their opinion, the driver could not have avoided striking the victims. Listening to the AG's report, the GJ realized that the case file submitted to the AG by the DA's Office did not include the long list of the driver's prior driving citations and prior road rage convictions nor had they seen the accident photos. At the conclusion of the AG's presentation, the GJ's position was that the AG’s Office should reconsider its decision. The GJ asked the AG to review additional materials and provided them with accident photos and documents. The jury had compiled this supplemental information in its investigation of the matter. When the GJ apprised the AG representatives of these prior convictions, the AG staff responded that they could not use much of the driver’s prior traffic record because that information would not be admissible as evidence. The AGs agreed to take the box of materials from the GJ back to Los Angeles with them. The additional items, however, did not change the AG's opinion, and they so informed the GJ the next day. The AG notified the victim's mother again on September 4, 2003 that they were not prosecuting the case, but that the DA had the option of reclaiming the case. The victim's mother immediately called VW urging the DA to resume control and file charges against the driver. 14 PART FOUR The District Attorney Reclaims the Case The Senior Assistant Attorney General informed the Chief Deputy DA in a letter dated July 23, 2003 that the AG staff’s review of the case was completed and that the AG’s Office decided not to file any criminal charges against the driver. The letter arrived to the desk of the Chief Deputy DA while he was out of the office on leave. Apparently no one was assigned to process his mail in his absence. He returned to work August 11 and immediately showed the letter to the DA. The Chief Deputy asked the AG to return the case paperwork to the SLO DA's Office. Meanwhile, after learning of the AG's original negative decision, the GJ wrote to the AG’s Office on August 15, 2003, just after receiving the family's complaints. The GJ wanted an explanation of the factors contributing to the AG's decision. The GJ advised the AG of the extensive local news coverage generated by the case and the hundreds of complaints the GJ had received. The AG decided to present an explanation to the GJ in person, something rarely done by that office. On September 3, 2003 two representatives of the Los Angeles division of the AG’s Office met with the GJ at the GJ office in San Luis Obispo to explain their decision of July 23. As explained in Part 3 of this report, the GJ disagreed with the AG Office’s decision and provided the AG representatives with additional information the GJ had compiled, including photos of the accident scene and information about prior offenses and convictions of the driver. However, that additional information apparently did not change the AG Office’s decision not to file charges. The day following that visit to the SLO GJ, the AG indicated their opinion had not changed despite the input from the GJ. On September 4, 2003 the attorney for the victim’s family sent a letter to the Chief Deputy DA stating that “It is our hope that… your office will now file the misdemeanor complaint against … and pursue prosecution in this matter.” On September 5, 2003 the Senior Assistant Attorney General sent a letter to the District Attorney forwarding more than 300 pages of material, including “…material you have not previously seen or requested.” She also referred information to the DA relating to a Department of Motor Vehicles administrative hearing decision to return the driver’s license and some information regarding the cell phone previously installed in the vehicle. None of that information proved to be relevant to this investigation. The AG indicated that the DA's Office was free to file if they chose to do so. That same day, September 5, 2003, the DA assigned the case to another Filing Deputy with the instruction to research and review the case and to recommend whether or not to file any charges. (Remember that on March 26 the Chief Deputy had instructed the filing deputy to "file the case.") Later that same day the DA’s Office filed one count of misdemeanor vehicular manslaughter against the driver. 15 Case Status: The DA’s Office filed charges on September 5, 2003 in the San Luis Obispo County Superior Court and counsel for defense immediately proceeded to file a series of motions. In January 2004 a defense motion to recuse the DA’s Office from the case and effectively end the prosecution failed in superior court. Defense counsel had requested an April 2, 2004 hearing regarding his motion involving the prosecution’s failure to preserve the victim’s blood sample. Arroyo Grande Hospital did not keep the victim's blood drawn on the evening of the accident. The defense position is that the blood sample is potentially significant in the case because a preliminary screening by hospital staff had shown the presence of methamphetamine in the victim. The defense attorney, however, had a conflict on April 2, and the motion was continued to April 16. A ruling on all motions is necessary before the trial scheduling date of May 28. The SLO DA is ready to proceed with the trial, which has been set for June 22. 16 AAAATTTTAAAASSSSCCCCAAAADDDDEEEERRRROOOO HHHHIIIIGGGGHHHH SSSSCCCCHHHHOOOOOOOOLLLL MMMMAAAARRRRCCCCHHHHIIIINNNNGGGG BBBBAAAANNNNDDDD PPPPLLLLAAAAYYYYSSSS AAAATTTT PPPPOOOOLLLLIIIITTTTIIIICCCCAAAALLLL CCCCAAAANNNNDDDDIIIIDDDDAAAATTTTEEEE’’’’SSSS CCCCAAAAMMMMPPPPAAAAIIIIGGGGNNNN RRRRAAAALLLLLLLLYYYY On Sunday, September 28, 2003 the Atascadero High School Marching Band played at a political rally for then candidate for governor, Arnold Schwarzenegger. To some county residents, this appeared to be in viola- tion of the California Education Code, which prohibits use of school resources for political purposes. Reports of the story in local newspapers included an opinion from the California Department of Education deputy legal counsel indicating that, if asked, he would have advised against the band playing. Within weeks of the event, the Grand Jury received two complaints from citizens citing this and other news reports, and express- ing concern that the Atascadero Unified School District had violated the law in permitting the band to play at the rally. Authority for the Inquiry The authority for the Grand Jury to inquire into this matter is given in Section 933.5 of the California Penal Code: “The grand jury may at any time examine the books and records of any special-purpose assessing or taxing district located wholly or partly in the county or the local agency formation commission in the county, and, in addition to any other inves- tigatory powers granted by this chapter, may investigate and report upon the method or system of performing the duties of such district or commission.” Overview The Atascadero Unified School District (AUSD) is responsible for the operation and su- pervision of thirteen schools, including Atascadero High School. The schools are located in the northern part of the county, serving the communities of Atascadero, Cres- ton and Santa Margarita. The district is governed by a Board of Trustees consisting of seven members who are publicly elected to four-year terms. The Board establishes the policies that govern the operations of the schools in the district, and hires the District Su- perintendent, who is responsible for policy implementation. Many of the Board policies reference the California Education Code, which sets the legal requirements for public schools in the state. The section of the code relevant to this in- quiry is 7054(a), which states: 17 No school district or community college district funds, services, supplies, or equipment shall be used for the purpose of urging the support or defeat of any ballot measure or candidate, including, but not limited to, any candidate for election to the governing board of the district. The applicable AUSD policy mirrors and references this section, and reads: No district funds, services, supplies or equipment shall be used to urge the support or defeat of any ballot measure or candidate, in- cluding any candidate for election to the Board. (Education Code
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CL6The issues surrounding the band performance at the political rally appear to be a matter of legal interpretation. A conclusive opinion would have to come through the courts or further legislative action. The decision to allow the band to perform in this instance, how- ever, was made within the spirit and intent of the law as interpreted by the AUSD legal counsel and consistent with District policy. A new or changed policy that would direct a different decision regarding marching band performances is a matter for the AUSD Board of Trustees to consider.
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CL7This Grand Jury attempted to assist the residents of the CVCSD in resolving their complaints and requests. However, the Grand Jury did not find any evidence of specific Brown Act violations by the CVCSD Board of Directors. Further, the services and needs detailed by the residents were beyond the jurisdictional reach of the Grand Jury and the county. 2266 In their report, the 1999-2000 Grand Jury stated that, “…the CVCSD has a history of inefficient and inappropriate operation.” The report then emphasized that: Ultimately, voter participation is the only effective oversight for the CVCSD. The effectiveness and responsiveness of the board of Directors are directly related to the attendance and awareness of the electorate. The Grand Jury urges constituents of the District to keep this in mind and to become aware of, and involved in, the activities of their District. This Grand Jury concurs with those conclusions. Many of the issues in California Valley must be solved by the residents and their Board of Directors. These issues would be costly to address and may well be beyond the ability of the board to implement. Prioritization is even more important due to the district’s unfortunate financial situation. The district has the authority under the California Government Code to levy the necessary tax assessments to fund the district’s operations, and must take the responsibility to do so. Suggested Actions Under Penal Code § 933.05, the CVCSD was required to respond to the aforementioned recommendations and findings of the 1999/2000 Grand Jury Final Report. This Grand Jury did not find evidence that such response was ever completed and submitted. Accordingly, this Grand Jury recommends that the County Counsel advise the CVCSD Board of Directors that their response to the 1999/2000 Grand Jury Final Report must be submitted to the Superior Court within 90 days of issuance of this report. The problems that were brought to this Grand Jury must be solved by the CVCSD. The Grand Jury recognizes the district’s financial condition and understands that the resident’s complaints and demands cannot be addressed or implemented overnight. The Grand Jury contends that the Board of Directors must make a concerted effort to conscientiously address each of these matters in a timely manner. Accordingly, the Grand Jury also recommends that the CVCSD immediately contact the California Special Districts Association for any applicable assistance, training and technical support to prepare and implement a long-term program to address the issues raised by the residents. If such a long-term program cannot be implemented successfully on a timely basis due to financial, realistic or other considerations, the Grand Jury recommends that the residents of the CVCSD service area seriously consider disbanding the district. Under such a dissolution, service delivery responsibility would revert to the county, and the District’s Board of Directors would be replaced by the County Board of Supervisors. 2277 Required Response This is an informational report. No formal response to the 2003-2004 Grand Jury report is required from any agency. 2288 EEEELLLL PPPPAAAASSSSOOOO DDDDEEEE RRRROOOOBBBBLLLLEEEESSSS YYYYOOOOUUUUTTTTHHHH CCCCOOOORRRRRRRREEEECCCCTTTTIIIIOOOONNNNAAAALLLL FFFFAAAACCCCIIIILLLLIIIITTTTYYYY The El Paso de Robles Youth Correctional Facility (El Paso) is one of eight institutions operated by the California Youth Authority (CYA) for the detention, training and education of youthful offenders. The CYA is a de- partment of the California Youth and Adult Correctional Agency. Recently, the agency has been under the scrutiny of the Governor, the California Attorney General, the Legislature, and the new Director of the Youth Au- thority. As a result, there has been considerable press coverage of CYA and its facilities during the first part of 2004. The El Paso facility is located across from the Paso Robles Airport. It houses male offenders, referred to as “wards,” who have been committed to CYA by the Superior or Juvenile Court for offenses that would have been felonies if committed by adults. Under a special contract with the Monterey County Juvenile Probations Department, some of their wards were also located at the El Paso facility. The ward population at El Paso has been declining in recent years, mainly due to legislative changes. In April 2002 there were 644 CYA wards and 327 full time staff at El Paso. The ward population and staff level in April 2004 was 300 CYA wards, 48 Monterey County juveniles, and 264 full time staff. Authority for the Inquiry The California Penal Code §919 (b) states, “The grand jury shall inquire into the condition and management of the public prisons within the county.” Method The superintendent and assistant superintendent met with the full Grand Jury in August 2003 to provide an overview of El Paso’s mission and operations. They emphasized that the facility is open “24/7” and we were invited to visit at any time. Members of the Grand Jury visited the El Paso facility on three occasions during subsequent months. In addition to meetings and tours, the El Paso management and staff provided extensive documentation about the facility and its programs. Informational Description and Observations Our initial visit to the El Paso facility in October 2003 included presentations by the senior staff and department heads. They provided current program and performance data related to their area of responsibility. The format allowed questions and interaction 29 with all attendees. We also reviewed with the staff previous Grand Jury findings, recommendations, and CYA’s responses to them. We then toured the ward housing units, referred to as “cottages.” There were nine active housing units at the time of our first visit, each named for communities in San Luis Obispo county. The number of wards housed in each unit ranged from 13 to 75, varying according to capacity and the program it houses. The Cambria cottage is the designated maximum detention unit. The environment is one of discipline and close personal and video scrutiny. We verified that there were no “cages” utilized for restraint or punishment of the type that had been reported in the press at some CYA facilities. Wards are assigned to a cottage based on their program assignment, which includes initial reception and evaluation, drug dependency, food service and firefighters (fire- fighter wards have since been integrated into other cottages as a result of budget cuts detailed below). All wards assigned to a program and cottage wear colored T-shirts specific to that unit. This allows the correctional officers to quickly identify the wards when they are going from one area to another and to verify that they are in the proper location. An informative part of our tour was a demonstration by the ward firefighters. This unit, comprised of the most trusted wards, provided significant county and state service. In 2003, the wards expended 111,772 man-hours in emergency fire fighting, controlled burns, and brush clearance. Other programs also allowed wards to provide community service. They contributed over 1,000 man-hours for the December 2003 San Simeon earthquake emergency response and clean up. An additional 30,000 man hours were dedicated to community and state activities that included: park maintenance, road/ground maintenance, flood control, and general construction. A partial listing of other public service activities the wards performed included: maintenance for Paso Robles City, Hearst Castle, Atasca- dero City and Templeton Community Service District, Paso Robles spring clean up, Camp Roberts weed abatement and wood cutting, and the Mid-State Fair Paso Robles High School graduation set-up and teardown. These disciplined service activities provided the wards with an opportunity to make positive contributions and gave them an incentive to return to society with job-related behaviors and skills. Nevertheless, as of the time of this report, the state budget cuts had eliminated the firefighters and the other community service programs, effective February 29, 2004. There are ongoing efforts to reinstate some of the programs. Resource groups that continue to be available to wards include: victim’s awareness, substance abuse counseling, parenting, gang awareness, anger management, and employability skills. Members of the Grand Jury attended a lunch meeting with the Citizens Advisory Committee on March 1, 2004. The approximately twenty members of the Advisory 30 Council represent various volunteer and non-profit organizations that provide support functions for the wards. The Paso Robles Police Chief is also an active member. The El Paso senior staff members attend the monthly Council meetings and present updates in their areas of management. In our one meeting observation, the Advisory Council appears to function less as an advising body than as an interface between the CYA and the local community. At the March meeting, the assistant superintendent gave us copies of two reports commissioned by the California Attorney General and the Youth Authority: The Review of Health Care Services in the California Youth Authority released August 22, 2003, and The General Corrections Review of the California Youth Authority released December 23, 2003. Both reports were the result of thorough investigations over an extended review period, and both reports are highly critical of the central (state) and local management of all CYA institutions. The recommendations, if implemented, will result in major changes to the CYA. On March 9, 2004, members of the Grand Jury returned to the facility to observe high school and general education classes. Our observations were that, although the instructors were making an honest effort to provide a disciplined and educational environment, many of the wards did not seem to be engaged in the classroom activities. The CYA should address whether the instructional content or end results are meaningful to the general ward population. Investigation of Pharmacy Medications In February 2004, The Tribune of San Luis Obispo reported that the state commission report on health services had found that the El Paso de Robles pharmacy contained expired medications. Based on that information, and without prior notice, we asked to review the pharmacy during our March 1 visit. Our intent was to verify that appropriate corrective action had been implemented. Contrary to the previously touted “24/7” availability, the superintendent and assistant superintendent initially balked at our request, citing various reasons that would prohibit our inspection of the pharmacy. At our insistence they reluctantly agreed, and three jurors were escorted to the medical building. The pharmacy is a secured room within the clinic. We found boxes of expired medica- tions on top of the counters and the floor covered with several boxes of new medications that were not properly stored. Upon subsequent review we found that the August report described a similar situation: “the pharmacy contained boxes and bags of medications stored on the floor. Many of the medications had expired, or were about to expire.” (Review of Health Care Services in the California Youth Authority, p. 47) The superintendent indicated to us that there was no effective means of disposal for expired medication. However, jurors later performed an internet search and quickly identified information regarding the availability of registered disposal companies, one of which is based in California. 31
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CL8Although the management expressed an openness to Grand Jury inspection on a “24/7" basis, a more closed, protective attitude surfaced when we asked for an unannounced tour of the pharmacy. This response seems consistent with that mentioned in the December General Corrections Review of the California Youth Authority report which noted that middle management had referred to prior investigations at El Paso as “the witch hunt.” We would suggest that a less defensive posture toward authorized inspections would better serve the institution. Overall, El Paso de Robles Youth Authority provides a reasonably safe environment for the wards, staff, and correctional officers under conditions that are frequently hostile and dangerous. The effectiveness of local and state mandated policies and the state-wide improvements that are needed are best addressed by the state CYA, the formal state review panel, and ultimately the Legislature. Required Response Pursuant to Penal Code §933 (c), the following agencies are required to respond to the findings and recommendations contained in this report: The El Paso de Robles Youth Authority Youth Correctional and The California Youth Authority. 32 FFFFLLLLOOOOOOOODDDD CCCCOOOONNNNTTTTRRRROOOOLLLL:::: CCCCLLLLOOOOGGGGGGGGEEEEDDDD BBBBYYYY BBBBUUUURRRREEEEAAAAUUUUCCCCRRRRAAAACCCCYYYY AAAANNNNDDDD AAAATTTTTTTTEEEEMMMMPPPPTTTTSSSS TTTTOOOO TTTTRRRRAAAANNNNSSSSFFFFEEEERRRR RRRREEEESSSSPPPPOOOONNNNSSSSIIIIBBBBIIIILLLLIIIITTTTYYYY Synopsis In March of 2001, the Arroyo Grande Channel Levee section of the San Luis Obispo County Flood Control and Water Conservation District Zone 1/1a was breached following heavy rains. This resulted in the flooding of several hundred acres of agricultural fields, businesses, residences and mobile homes. These heavy damages led to claims against San Luis Obispo County with costs totaling $1,289,000. The San Luis Obispo County Board of Supervisors responded by reinstating a citizen advisory committee to specifically oversee the Arroyo Grande Creek Flood Control District. This was the first time any citizen oversight group had met in over 20 years for that purpose. That committee was comprised of concerned residents of the county, many of whom were directly affected by the flood breach. The committee found the zone did not have enough funds to meet the current maintenance requirements. The committee also recommended a study to identify alternative means for clearing the creek and to guard against future flooding. To this end, the Board of Supervisors appropriated $150,000 for an Alternative Analysis Study to be included in the County Public Works budget of 2002-2003, only to later withdraw that funding. Origin of the Inquiry The Grand Jury received a complaint from a county resident whose property was damaged from flooding stemming from the way in which the creek has been maintained. Authority of the Inquiry According to the California Penal Code § 925: "The grand jury shall investigate and report on the operations, accounts, and records of the officers, departments, or functions of the county including those operations, accounts, and records of any special legislative district or other district in the county created pursuant to state law." Method During the course of the investigation the Grand Jury obtained its information from several sources. The information in this report is a compilation of information received from attending watershed forums, interviewing many county officials, both 33 elected and appointed, as well as visiting the site. Through the course of the investigation we met with, and interviewed, the Project Manager of the Arroyo Grande Watershed Forum, San Luis Obispo Assistant County Counsel, Executive Director of Environment in the Public Interest, County Public Works Director, County Deputy Director of Public Works for Engineering Services, Coastal San Luis Resource Conservation District Board President, State Division of Flood Management Chief, and a representative from the Environmental Defense Center. We also interviewed the complainant on multiple occasions. Setting The Arroyo Grande and Los Berros Creeks, located in the South County area of Arroyo Grande and Oceano, flow into the adjacent lowlands, much of which is, and has been, farmland for generations. A Public Works Department map of the area is included as an Appendix to this report. Serious floods occurred in 1969, 1983, and 1995. For visitors, and even long time residents, the Arroyo Grande Creek is part of the charm of the Village historical area of Arroyo Grande, but most people know very little about the creek that flows beneath the swinging bridge on its way to the sea. The creek is one of several that flow from higher elevations east of Arroyo Grande, in this case from Lopez Lake. It winds naturally toward the Village with a downhill flow and levels out as it reaches farmland in the area west of Highway 101. This relatively flat area slows the flow of the creek. The levee, built in the 1950's, starts in the farmland near Halcyon and extends three miles, including lower portions of Los Berros Creek. Early ranchers and farmers used the creek for their crops and animals, but there was often a price to pay when flooding occurred. Documented floods go back to the year 1862 and occurred with regularity from the early 1900's through the 1940's. A huge crop loss in 1952 made it apparent that a project was necessary to improve the creek's ability to move water. In 1957, the U.S. Department of Agriculture (USDA) coordinated construction of the Arroyo Grande Channel Improvement Project. The high probability of future flooding exists because over the years sedimentation and riparian growth within the creek have restricted the capacity of the stream flow. To monitor and protect the surrounding area, the County Board of Supervisors approved creation of flood control districts 1 and 1/A in the late 1950s. The county attempted to clear the waterway from time to time as the creek channel filled with soil moved from upstream. Over the years the process for repairing the channel was made more difficult with the increasing number of permits needed before work could begin, the extent of work permitted, and the time limitations for such work. Budgetary constraints further complicate any repair project. Permits are now required from the California Coastal Commission, the U.S. Army Corp of Engineers, the USDA, and other agencies. Because of the complex situation, county engineers have recently coordinated permit applications for maintaining the channel. 34
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CL9Today the creek is clogged and flows slowly between the levees through the Oceano area, emptying into the ocean south of the vehicle entrance to the beach. Anyone wishing to see first hand the condition of the creek can do so by visiting the 22nd Street Bridge in Oceano. From this vantage point it is possible to look toward the mesa and see that at one time the entire area was a wetland. Nature's power is evident, both in what was once here, and in what is occurring today. The Grand Jury found that the problem in addressing a waterway with protected wildlife is compounded by the numerous permit requirements found at the state level, and those that are even more restrictive at the federal level. Even within the same agency, whether state or federal, there often are overlapping divisions with differing processes, programs, and priorities. The Grand Jury determined that the number and nature of the permits required for such a project is dependent upon the nature of the work to be done, which, in turn, is dependent upon the results of required scientific studies. The studies themselves are often very costly and time-consuming. A vast and complex array of mandated public hearings and response must be completed prior to issuance of the permits necessary for a project to address flooding in a creek channel such as Arroyo Grande Creek. Assuming an acceptable alternative solution is identified as a result of any required studies, the proposed project is then dependent upon the time duration of the various permits, the cost of the project, the availability of funding, and seasonal construction restrictions. In short, the permit process is so difficult, complex, costly and confusing that even the most knowledgeable government official finds it almost impossible to decipher and implement. Even if the agency responsible for a drainage waterway is able to identify and undertake the necessary steps, the cost of such projects must compete with many other capital improvement projects for that government's limited budget funds, an important consideration in the present fiscal climate. In the opinion of the Grand Jury, by adopting Resolution No. 2003-105, the Board of Supervisors attempted to absolve itself of the long term expense and aggravation of the permit process. Following this action, the Board of Supervisors removed the $150,000 which had been initially budgeted for the "Alternative Analysis" study. In the opinion of the Board of Supervisors they were no longer responsible for the creek, and so there was no need to perform that study. This action is especially disconcerting because the Grand Jury has been told that the county actually holds an existing permit for some work that could be done on the Arroyo Grande Creek channel. However, the county will not proceed with the work allowed by that permit process because, in the estimation of County Counsel, jurisdiction of the creek maintenance was immediately transferred to the state upon adoption of Resolution No. 2003-105, and county action on that permit would mitigate against the county's position that the state now has responsibility for maintenance of the Creek. 36 In the meantime, the property owners affected by creek flooding, including the original complainant, are left waiting and wondering if anyone will help them avoid further damage and expense. While the state disagrees that the county transferred jurisdiction by adoption of Resolution No. 2003-105, the one thing both entities agree on is that an appropriate court of authority as a result of litigation could determine maintenance responsibility. That, however, is very small consolation to the threatened property owners. Many federal, state, county, Coastal Commission and related environmental permits are required for such drainage control work. Further, the cost of any logical solution to repair or maintain the creek channel would be better borne by an agency with sufficient authority and resources. The U.S. Army Corps of Engineers historically has had responsibility for flood control management in the continental United States. In 1999 the Corps of Engineers performed a preliminary evaluation for potential solutions to the Arroyo Grande flood control problem. Therefore, the Corps may be the appropriate agency to acquire the necessary permits and complete the necessary work to protect the property and residents in this area.
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CL10The 2001-2002 Grand Jury reported on the overcrowding in the women’s jail and recommended that the sheriff act to correct the situation. We join them in highlighting this unacceptable situation. Without funding and county action, however, the Sheriff’s Department cannot expand the facility. It is the responsibility of the Board of Supervi- sors and the county to move quickly beyond the design stage to implement a solution to this ongoing problem. 40 The Sheriff’s Department appears to effectively operate and maintain a secure facility with limited resources. They are to be commended for their efforts in coordinating with the Mental Health Department to provide services to the increasing number of inmates who require counseling and/or medication. We also commend the sheriff for working toward adding enclosed cameras in the safety cells. Given the increased inmate population with mental health issues, it would be reasonable to expect that the number of inmates with suicidal tendencies would also increase. The jail staff, who are not trained mental health professionals, are likely to feel additional stress in working with the mentally ill population in the jail. We encourage the depart- ment to work with the Mental Health Department and to identify other resources in order to provide the jail staff with appropriate training in working with mentally ill inmates. Required Response This is an informational report. No formal response to this 2003-2004 Grand Jury report is required from any agency. 41 TTTTHHHHEEEE SSSSAAAAFFFFEEEETTTTYYYY AAAANNNNDDDD BBBBEEEESSSSTTTT IIIINNNNTTTTEEEERRRREEEESSSSTTTT OOOOFFFF CCCCHHHHIIIILLLLDDDDRRRREEEENNNN???? AAAANNNN IIIINNNNQQQQUUUUIIIIRRRRYYYY IIIINNNNTTTTOOOO CCCCHHHHIIIILLLLDDDD WWWWEEEELLLLFFFFAAAARRRREEEE SSSSEEEERRRRVVVVIIIICCCCEEEESSSS Synopsis The 2003-2004 Grand Jury received multiple complaints against the San Luis Obispo County Department of Social Services (DSS). These complaints accused the Child Welfare Services (CWS) division of failing to provide for the safety and stability of children who are at risk of abuse and/or neglect. Investigation of the complaints led us to examine several CWS systems. Our investigation focused on two areas where CWS has important responsi- bilities: the county system for reporting and investigating suspected child abuse, and the processes involved in the placement of children who have been removed from their homes. We found problems in both systems that involve lack of communication and coordination with related agencies. In re- porting child abuse, CWS fails to provide law enforcement and the district at- torney with required, timely information. In Juvenile Court cases concerning the placement of children, CWS acts to keep information and other profes- sionals who work with the children outside of the process. While confidentiality is of the utmost importance in child welfare and court cases, the same confidentiality that is supposed to protect these children is used to prevent related agencies from communicating with CWS and the court. There appears to be little or no accountability as to how CWS arrives at many important decisions. Grand Jury members received specialized training and were allowed access to confidential CWS case information. We question whether the court is receiving all of the relevant information, or even the correct information. We also reviewed the CWS organization in our effort to understand its situa- tion. We found an organization that is faced with enormous challenges, many of which are inherent in the work it performs. There are currently added pressures from California mandated changes and budgetary con- cerns. The most difficult obstacle to overcome, however, may be the distrust between social workers and upper management at CWS. Unless this prob- lem is addressed, it is questionable whether CWS can effectively meet its other challenges. 43 Origin of the Investigation This investigation began as a result of a complaint that was accepted by the 2002-2003 Grand Jury. The complaint alleged that the Department of Social Services, Child Welfare Services division, failed to protect and to act in the best interest of two children. After initial review late in its term, the 2002-2003 Grand Jury assessed that the complaint may under- score more serious problems within the department. Because of the time constraints, that Grand Jury forwarded the complaint to the 2003-2004 Grand Jury for our consideration. Upon review of the forwarded complaint, we accepted it as the first case of the 2003-2004 Grand Jury. By March 2004 we had received similar complaints and allegations involving 17 CWS cases, 16 families and 38 children. The allegations against CWS cover a range of issues, including failure to respond to reports of child abuse and neglect, and inappropriate actions in foster care and adoption cases. As we investigated each case, several themes emerged that shaped our investigation and this report. The central question that we address in this report is, does CWS effectively implement systems that protect the safety and best interest of chil- dren? Authority for the Investigation Our authority to pursue the investigation is pursuant to Section 925 of the California Penal Code that states, “The grand jury shall investigate and report on the operations, accounts, and records of the officers, departments or functions of the county.@ The Department of So- cial Services is a county agency under the purview of the Board of Supervisors, and Child Welfare Services is a division within that agency. Overview: Child Welfare Services This investigation focuses on the Child Welfare Services (CWS) division of the San Luis Obispo County Department of Social Services (DSS). Within the county structure, the Board of Supervisors appoints the DSS Director. Leland Collins has held this position since August of 2000. DSS provides services under three main categories: Aid Programs, Adult Protec- tive Services, and Child Welfare Services. Since the time of Mr. Collins= appointment as DSS Director, the CWS division has been under the direction of Deputy Director Debby Jeter. The DSS budget derives its revenues from allocations of state and federal funds, special grants, and county funds. The approved 2003-2004 DSS budget includes expenditures of $74.26 million, of which about 65 percent is for DSS administration and 35 percent is for di- rect benefit payments. The county General Fund Support for the DSS 2003-2004 budget was originally approved at $3.53 million, although in January, 2004 this amount was in- creased by nearly $2 million. The increases were attributed to the complex funding and state reimbursement for CWS services. With the budget adjustments that were approved in May, the total General Fund Support for the 2003-2004 DSS budget was $6.97 million. 44 The major programs implemented through CWS are under the jurisdiction of the California Department of Social Services and are regulated by California=s Penal Code (PC), Welfare and Institutions Code, and Health and Safety Code. The county receives federal funds for CWS programs, along with the federal regulatory requirements, from the state DSS. The California DSS Manual of Policies and Procedures, Division 31 Child Welfare Services Pro- gram, is the primary operating manual governing CWS programs. Local CWS policies and procedures define specific implementation and practices in San Luis Obispo County. During the last year, CWS has been compiling local procedures as ADesk Guides@ for workers to access via the departmental intranet. The county=s 2003 DSS Public Information Report states, AThe goal of Child Welfare Ser- vices is to provide for the safety and stability of children who are at risk of abuse or neglect@ (March, 2004 p.16). CWS services are listed in the following categories: Early Intervention/ Emergency Response, Family Maintenance Voluntary/Family Preservation, Family Mainte- nance Court Ordered, Family Reunification, and Permanency Planning. The work of CWS involves receiving and responding to reports of child abuse or neglect, working with families to facilitate effective parenting and safe environments for children, and, when necessary, removing children from their homes and finding alternative placements for them. The Juvenile Court, a division of the California Superior Court, has jurisdiction when CWS takes a child from parents or legal guardians. CWS must petition the court to detain, take custody, and/or place children in foster care or other placements. Recommendations and placement plans are developed by CWS and submitted for court review and approval. In this capacity, CWS plays an important role in providing the critical information on which the court bases its decisions. The DSS Public Information Report also describes 15 Ainnovative practices and initiatives@ that CWS has implemented in its efforts to keep children safe. Many of these initiatives have been in response to, or in anticipation of, social work benchmarks and state priorities. Since 1998, standards of excellence in social services have been referred to as Best Prac- tices and CWS has sought special funding in support of local implementation. Recently, many such standards have been incorporated as state mandates and performance goals in the California Child Welfare Services Redesign (generally referred to as ARedesign@).1 This statewide Redesign, which is being implemented from 2004 through 2007, also re- quires major systems changes in local CWS operations. The state has selected San Luis Obispo as one of the counties that will receive special funding as Aearly implementers@ of the Redesign. CWS will receive a total of $2.85 million beyond its normal allocated state funding over the next four years. The first $300,000 was accepted in January 2004, and the remaining payments are to be distributed annually through fiscal year 2007-2008. A central component of the Redesign is the legislatively mandated statewide accountability and monitoring system (Assembly Bill 636), which involves tracking performance measures. The online California CWS Case Management System (CWS/CMS), which the county CWS has been phasing in over the past five years, enables the state to track county performance. The system can also be used to track individual social worker performance. 45 State mandates and local initiatives in recent years have required county CWS employees to learn, implement, and adapt to a myriad of changes. They also must provide vital services with fewer staff. DSS has had a hiring freeze in place since May 2002, resulting in more than 70 unfilled positions in 2004. In addition, in January 2004, the Board of Supervisors approved the elimination of temporary CWS employees and of 18.5 permanent positions, including two of the five senior management jobs. Methods of Investigation Our efforts to identify actions and behaviors that led to the complaints against CWS involved conducting interviews, reviewing CWS case files, and examining various documents. We conducted 37 individual interviews at the Grand Jury office, each lasting from one to three hours. Interviewees included complainants, social service professionals, mandated report- ers, lawyers, court commissioners, and current and former CWS managers, supervisors, and social workers. A minimum of five Grand Jury members participated in each interview, although there were typically eight to ten jurors present. The majority of the interviews were tape recorded for the review of other jurors and for later reference. In addition to these Grand Jury office interviews, we visited several law enforcement agencies to talk with offi- cers over the course of our investigation. At least two jurors participated in each of these visits. Because of the sensitive nature of CWS cases, confidentiality, by law, is at a high level. All jurors received special training in confidentiality from Office of County Counsel attorneys prior to having access to confidential information or to CWS files. Discussions of cases and our review of CWS files was completed in accordance with a Standing Order of the Superior Court, as revised during the period of our investigation. At least two jurors reviewed each file. Other documents reviewed for this investigation included the California Penal Code and Welfare and Institutions Code, state and local agency publications, presentation handouts and budget summaries, and correspondence and documentation provided by complainants and related parties. When information in this report is derived from public information, the source is indicated. The range of issues that surfaced in the course of this investigation resulted in three areas of focus that are developed in the remainder of this report. We have identified findings and recommendations under each section, and include our concluding remarks at the end of the report. This report includes the following sections: I. Suspected Child Abuse Reports II. CWS Placement Cases and Issues III. Organizational Issues IV. Concluding Remarks and Response Requirements 46 l. Suspected Child Abuse Reports The focus of this section is the system used for reporting child abuse in California and its implementation in San Luis Obispo County. We first review the legal requirements and then discuss local processes. The Child Abuse and Neglect Reporting Act, California Penal Code '11164 et. seq., is in- tended to protect children from abuse. Many sections of the Penal Code and the Welfare and Institution Code support this act and in many instances the section numbers of the two codes are the same. Both law enforcement and Child Welfare Services (CWS) play impor- tant roles in ensuring compliance with the law. SCAR is the acronym for Suspected Child Abuse Report, a Department of Justice form that is used to report suspected physical, mental, emotional, or sexual abuse, and severe or gen- eral neglect. Any person can make a report, but mandated reporters are required by law to complete a SCAR form. Mandated reporters generally include any person who has direct or indirect contact with children. Penal Code '11165.7, included here as Appendix A, identi- fies legally designated mandated reporters, and a copy of the SCAR form is provided in Ap- pendix B. All employers of mandated reporters are required by law to inform their employ- ees about the requirements for reporting child abuse. Mandated reporters are required to submit a SCAR whenever the reporters, in their profes- sional capacity or within the scope of employment, have knowledge of, observe, or reasona- bly suspect a child has been the victim of abuse or neglect. These suspicions are to be re- ported immediately or as soon as possible by telephone to any police or sheriff's department or to the county child welfare services. The SCAR form containing information concerning the incident must be sent to the agency that was telephoned within 36 hours. As specified in the instructions printed on the reverse side of the form, color specific copies are to be dis- tributed to child welfare services, the local law enforcement agency, and the district attor- ney=s office. The fourth copy is for reporting parties to keep for their record. The report flow shown in Figure 1 is designed to ensure that all interested agencies are noti- fied in order to initiate their investigations. The Penal Code specifies penalties for failure to follow the designated procedures. A mandated reporter who fails to report any suspected child abuse or neglect A...is guilty of a misdemeanor punishable by up to six months in a county jail or by a fine of one thousand dollars ($1,000) or by both fine and punishment@ (PC '11166). The section further states A...any supervisor or administrator who violates or hin- ders the distribution of the SCAR is guilty of an infraction punishable by a fine not to exceed five thousand dollars ($5,000)@ (PC '11166.01). The purpose of requiring the distribution of the four part handwritten form is to ensure that all appropriate investigative agencies are provided with original information. Any agency receiv- ing a SCAR must accept it. When an agency receives a report for which it lacks jurisdiction, the agency must immediately evaluate it and refer the applicable cases by telephone, fax, or electronic transmission to the agency with proper jurisdiction. 47 Suspected Child Abuse Process flow in accordance with Mandated Report (SCAR) Reporter Penal Code and Welfare and Institution Codes Law enforcement CWS as a Initiates as a Mandated Mandated SCAR Reporter Reporter District Attorney as a Mandated Reporter CWS Investigation CWS/CMS Department of Yes Founded? Justice Law enforcement District Attorney No Delete Abuse? Abuse? No Yes End Yes Investigation Investigation Investigation Juvenile Court Figure 1 48 The intent of the law is to ensure a multi-agency involvement process. The goal is for all in- formation to be cross checked so that no child falls through the cracks of the process, and that independent investigative reports are available to the courts. SCARs in San Luis Obispo County The issue of SCARs was brought to the Grand Jury=s attention when two mandated report- ers filed a complaint asking us to follow up on why investigations were not initiated after they had properly filled out and sent a SCAR to the county Child Welfare Services. This prompted the part of this investigation that involved reviewing the distribution of SCAR forms in our county. In following up on the initial and subsequent complaints, we reviewed 17 CWS files involving 38 children. We found 44 SCAR forms that had been completed in the last three years, mostly by mandated reporters. Thirty-five of the forms still included the copies intended for distribution to law enforcement and the district attorney. In only one of the files was there indication that the mandated reporter was sent an acknowledgment as required by the proc- ess. Upon investigation, we learned that since August 2000, CWS has been initiating a comput- erized CWS/CMS version of the SCAR when they receive a report of suspected child abuse that meets their criteria for action. Copies of that version of the SCAR are distributed to law enforcement and the district attorney when required. A result of this practice is that in most cases, the other agencies do not see the originally submitted SCAR that may contain infor- mation that is not included on the CWS form. In instances when the original form is also submitted, either by a mandated reporter or CWS, the result is that other agencies are re- ceiving duplicate reports. An effective approach, which we found used in a few instances, was CWS attaching the agency copy of the original SCAR to the CWS form they distribute. Local CWS procedures are currently being developed as ADesk Guides@ for electronic distri- bution to employees through the county DSS internal network. The working ADraft CWS Desk Guide Subject: Intake Referral@ (Draft Revised 7/17/03) calls for systematic distribution of the reports as depicted in Figure 2. We noted that the Desk Guide does not specify that a copy of the SCAR must be distributed to the district attorney when it alleges physical or sexual abuse or severe neglect. While we confirmed that the district attorney=s office does receive some copies of CWS generated SCARs, it is difficult to know whether they are consistently distributed as required by law. There is also a delay in receiving the reports from CWS. Even with the Desk Guide in place, we identified additional areas of concern related to CWS communication with mandated re- porters and the coordination with law enforcement. Mandated Reporters Many of the SCARs that we reviewed had been determined to be unsubstantiated or un- founded by CWS. An unsubstantiated designation means that not enough evidence was 49 Process flow in accordance with the Suspected Child Abuse San Luis Obispo CWS Desk Guide Report (SCAR) and actual practices Mandated Reporter Case carrying Social Worker’s (SW) Supervisor Licensing/Approval supervisor Placement supervisor Initiates Typical distribution All CWS Division Managers Law Enforcement SCAR District Attorney CWS Case carrying SW SW’s Supervisor Licensing/Approval supervisor Placement supervisor Distribution in accordance All CWS Division Managers with Desk Guide Law Enforcement Investigation Case carrying SW DSS SCAR SW’s Supervisor Licensing/Approval supervisor form Placement supervisor CWS/CMS Internal distribution only All CWS Division Managers Juvenile Court Figure 2 50 found to support the allegation. In an unfounded determination, CWS has found no evi- dence or basis for the accusation. Several mandated reporters questioned how these determinations had been made. In many cases, it appeared to this Grand Jury and to law enforcement agencies that there was enough documentation to warrant further investigation or another conclusion. One example is a SCAR submitted by mandated reporters that included statements and evidence from a doctor, teachers, psychologists, and even a child=s drawing to substantiate their accusations. Even with this supporting documentation, the SCAR was deemed to be unsubstantiated by CWS. When asked how this conclusion had been determined, CWS told the mandated re- porters that the information could not be shared due to confidentiality. Law Enforcement In our interviews with law enforcement, we learned that in some agencies the dispatchers routinely receive calls from CWS when suspected child abuse is reported. Other agencies reported that they do not receive calls as often as they should. This call is important be- cause it allows the law enforcement agency to respond quickly. Failure to receive immediate notice delays law enforcement investigations. Important evidence such as bruising and markings may be lost, the information provided by the victim and suspect may change, and one or the other of them may leave town. The reporting process is designed for the telephone reports to be followed by a copy of the CWS/CMS version of the SCAR form in cases of physical or sexual abuse. Each law en- forcement agency has developed its own system for matching the reports they receive by telephone with the corresponding paper work. In cases where there was no call received, the SCAR may be the first time law enforcement was made aware of the suspected abuse. Problems also occur in the paper flow from CWS. SCAR forms are often distributed by CWS to the wrong law enforcement agency. This puts an extra burden on the receiving agency to re-route the SCAR, particularly since some receive up to 70 per month. A related issue is the delivery time. The Penal Code is clear that a written SCAR must be sent within 36 real (consecutive) hours to the agency that receives a telephone report. In many cases, we found the CWS initiated SCAR was not filled out until several days after the initial call. After it has been processed by CWS, it was another three to five working days, often more than a week, before the law enforcement agencies and the district attorney=s of- fice received their copies. The county agencies that we interviewed received the written SCARs from CWS through the county=s inter-office mail system.
No Responses Found 1
Government entities assigned to respond to this report. No response documents have been linked in our database.