Glossary Adp: Average Daily Population Bos: Napa County Board of Supervisors

Recommendations 12

• R1

  Page 82
  The Probation Department is to reduce its staffing level for Napa County Juvenile Hall to a level consistent with the historical trends of the past ten years and consistent with the requirements of Title 15. This reduction in staffing is to be accomplished no later than June 30, 2021 and reflected in the Napa County’s Adopted Budget for Napa County Juvenile Hall for FY 2021-2022.
• R2

  Page 82
  The Board of Supervisors consider using The Tool Kit created from the Juvenile Hall Utilization Workgroup. The Board of Supervisors and the Probation Department are to convene a task force consisting of relevant governmental agencies to study and suggest alternative uses for the under-used Napa County Juvenile Hall facility. This task force is 5 California State Association of Counties, “Juvenile Justice Facilities in California: Report and Tool Kit”, November, 2019, https://www.counties.org/sites/main/files/file- attachments/juvenile_hall_report_and_toolkit_2019.pdf?1576174740 74 to convene no later than December 31, 2020, with directions to issue a public report with its recommendations no later than June 30, 2021.
• R3

  Page 93
  NCDC and NCPD require Wellpath to certify the preparation of “Patient Safety activity work products.” This action to be completed by December 31, 2020, and annually thereafter.
• R4

  Page 93
  NCDC and NCPD are to establish the existence of those items required by the Wellpath Agreement, but which are not held by the County, to be verified
• R5

  Page 93
  The Napa County Board of Supervisors institute a one-time audit of Wellpath’s compliance with the Scope of Work contained in the Wellpath Agreement. This audit to be independent of the NCDC and NCPD, and to include a physician with contract administration experience. This audit to be completed no later than June 30, 2021.
• R6

  Page 93
  The Napa County Auditor-Controller, the Departments of Corrections and Probation, County Counsel, and County Executive Officer are to review the provisions of the Wellpath Agreement, including Exhibits “A” and “B,” and institute the appropriate Services Agreement amendments or modifications, as provided for in the Agreement, necessary to reflect the actual contract requirements. This action to be completed
• R7

  Page 93
  The Napa County Auditor-Controller, together with the Departments of Correction and Probation, is to establish clearly defined criteria for the confirmation that goods or services have been received from Wellpath. These criteria are to be put in place
• R8

  Page 93
  The County of Napa should not accept Wellpath invoices submitted more frequently than quarterly. This policy to be implemented by the second quarter of fiscal year 2020-2021. ENCLOSURE (1) RESPONSES TO DATA REQUESTS TABLE 1 County Counsel Response for NCPD dated 4/27/2020 1 Policy & Procedures manual Provided 2 Annual Record of review and approval Note 1 3 Quarterly Medical Administrative Committee meeting minutes (4) Note 1 4 Monthly health care staff meeting minutes (12) Note 1 5 Records of quality improvement drills Note 1 6 Monthly statistical reports of health care services (12) Note 1 7 Continuous Quality Improvement (CQI) Note 1 8 program details Note 1 9 CQI quarterly meeting minutes/summaries (4) Note 1 10 Process and/or Outcome Quality Improvement Studies Note 1 11 Outcome Quality Improvement studies Note 1 12 Annual Calendar of Quality Improvement studies Note 1 13 Minimum thresholds for site-specific issues or problems Note 1 14 Random sampling procedures for audits Note 1 15 Contractor and Corrections/Probation Department personnel training records Provided Note 1 After a search of documents in its care, custody in control, the Probation Department found no documents responsive to this request. The Department believes these documents to be in the care, custody and control of Wellpath. TABLE 2 County Counsel Joint Response for NCPD & NCDC dated 5/1/2020 1 Procedures Manual Documents, 1.1.a, 1.1.b, and 1.1.c Provided 2 Quality Management Program/Health Service Audits, paragraphs1.3.a., 1.3.b., Note 2 1.3.c., and 1.3.d. Health Care Staff Procedures, 1.4.c No 4 Basic Training for Correction Personnel, 1.14.a. and 1.14.b. Provided 5 Health Are Staff Qualification, Development and Training, 1.24.a Note 2 6 Policy and Procedures Manual w/declaration page Provided 7 Annual record review and approval of al policies and procedures Note 2 8 Quarterly Medical Administrative Committee meeting minutes Note 2 9 Monthly health care staff meeting minutes Note 2 10 Records of quality improvement emergency drills Note 2 11 Monthly statistical reports of health care services Provided 12 Continuous Quality Improvement (CQI) Program Details Note 2 13 CQI quarterly meeting minutes/summaries Provided 14 Process and/or Outcome Quality Improvement Studies Provided 15 Outcome Quality Improvement Studies Provided 16 Annual Calendar of Quality Improvement studies Provided 17 Minimum threshold for site-specific issues or problems to be studied Note 2 18 Random sampling procedures for audits Note 2 19 Annual review of effectiveness of the CQI program Note 2 86 20 Provided Note 2 The Department does not have any documents responsive to this request. 87 , 2020 REVIEW OF RESPONSES TO THE 2018-2019 GRAND JURY REPORTS 88 Table of Contents I. Summary 3 II. Methodology 4 III. Discussion: Timelines 5 IV. Findings 7 V. Reviewed Responses of 2018-2019 Grand Jury Final Reports City of Napa Traffic Signal Synchronization Study 8 Enforcing Short-Term Vacation Rental Codes in the Napa 9 Valley Mental Health Services—Juvenile Hall 13 Napa County Water Quality—It’s a Matter of Taste 14 St. Helena—A Small Town with Big City Problems 22 Under a Microscope—Napa County Jail Healthcare 24 Services Where’s My Costco—A History of the Napa Pipe Project 28 89 Review of Responses to the 2018-2019 Grand Jury Reports May 25, 2020 I. SUMMARY California Penal Code Section 933 requires elected officials or agency heads to respond of the issuance of a grand jury report that requires their response and requires governing bodies to respond 1 Section 933.05 specifies the way the responding parties are to make their responses. These responses are transmitted to the presiding judge of the superior court. The response to a Finding must be provided in one of the two following formats: 1. The respondent agrees with the finding. 2. The respondent disagrees wholly or partially with the finding, in which case the response shall specify the portion of the finding that is disputed and shall include an explanation for the reasons therefor. The response to a Recommendation must be provided in one of the following four formats: 1. The recommendation has been implemented, with a summary, regarding the implemented action. 2. The recommendation has not yet been implemented, but will be implemented in the future, with a timeframe for implementation. 3. The recommendation requires further analysis with an explanation and the scope and parameters of an analysis or study, and a timeframe for the matter to be prepared for discussion by the officer or head of the agency or public agency when applicable. This timeframe shall not exceed six months from the date of publication of the grand jury report. 4. The recommendation shall not be implemented because it is not warranted or is not reasonable, with an explanation therefor. The 2018-2019 Napa County Grand Jury issued its Consolidated Report on June 24, 2019. The report consisted of eight individual final reports, one of which was a review 1 Subdivision (c) provides that: “No later than 90 days after the grand jury submits a final report on the operations of any public agency subject to its reviewing authority, the governing body of the public agency shall comment to the presiding judge of the superior court on the findings and recommendations pertaining to matters under the control of the governing body, and every elected county officer or agency head for which the grand jury has responsibility pursuant to Section 914.1 shall comment to the presiding judge of the superior court, with an information copy sent to the board of supervisors, on the
• R9

  Page 119
  Beginning in the 2020-2021 City of St. The City’s response does not comply Fiscal Year beginning July 1, 2020, Helena with Penal Code §933.05.6 and continuing thereafter, the City 6 See Summary on for response requirements 111 should allocate a designated percentage of the General Fund each year for additional payments toward its unfunded liabilities to CalPERS as well as deferred maintenance costs for City real property assets.
• R10

  Page 120
  Beginning with the fiscal year City of St. The City’s response does not comply commencing on July 1, 2020, as the Helena with Penal Code §933.05.7 City hires additional full-time personnel, such as new full-time firefighters, the City should recalculate the effect of such hires on unfunded pension liabilities to CalPERS and include those new liabilities in the allocated budget.
• R11

  Page 120
  No later than December 31, City of St. The City agrees 2019, the City should conduct an Helena analysis of its legal expenditures and associated results in order to determine whether any changes need to be made to the City’s current legal support and strategy. The results of this analysis and any accompanying recommendations should be shared with the public.
• R12

  Page 120
  The City should develop and City of St. The City’s response does not comply enhance its system of community- Helena with Penal Code §933.05.7 based communications to highlight important financial issues affecting City residents. The communications could be published in the weekly St. Helena Star or by e-mail or both. Re-advertise the City email communications system and how City residents can access these communications on a regular basis. See Summary on for response requirements 112 DEPARTMENT OF CORRECTIONS (NCDC) ANNUAL REVIEW: UNDER A MICROSCOPE: NAPA COUNTY JAIL HEATHCARE SERVICE The 2018-2019 Napa County Grand Required/Invited Responses Jury Found; Respondent For full responses go to http://www.napacourt.com/grand- jury/reports-response%202018-2019