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Extracted from Consolidated Report

This investigation was originally published as part of a larger consolidated report containing multiple investigations. View the consolidated PDF for the complete document.

Napa County Grand Jury • 2023-2024

Raising Awareness of Elder Abuse in Napa County

Published: ∼ June 30, 2024 17 pages
View PDF View Full Original

Findings 12 findings

F1 Page 1
The current structure of the volunteer monthly stipend does not reward the volunteers who respond to multiple calls. The Board of Supervisors agrees with this finding.
F2 Page 1
The operational model of how volunteers are used in support of the Napa County Fire Department is ineffective because it does not hold volunteers accountable for not responding to emergency calls. The Napa County Fire Unit Chief and Deputy Fire Chief agree with this finding. The Board of Supervisors agrees with this finding.
F3 Page 1
The low response rate from the Soda Canyon Volunteer Fire Station compromises its effectiveness to provide reliable fire protective service. The Board of Supervisors agrees with this finding.
F4 Page 1
Napa County does not have a dedicated web page or program for the purpose of recruiting new volunteers from a broader group of potential applicants. The Napa County Fire Unit Chief and Deputy Fire Chief agree with this finding. The Board of Supervisors agrees with this finding.
F5 Page 1
The Board of Supervisors representative for the Fire Service Advisory Committee has not changed in four years, creating a lack of representation from all five Supervisory Districts. The Napa County Board of Supervisors agrees with the finding that the FSAC representative has not changed in four years; however, the Board disagrees with the statement that all supervisory districts’ perspectives are not heard within the committee.
F6 Page 1
The selection process and criteria for the position of Volunteer Fire Chief is not standardized under state-mandated industrial guidelines. The Napa County Unit Chief and Deputy Fire Chief agree with this finding. The Board of Supervisors agrees with this finding.
F7 Page 1
The volunteers do not have a liaison officer to act as a spokesperson between them and the Napa County Fire Department, resulting in miscommunication and misunderstandings between both groups. The Napa County Board of Supervisors agrees with the finding that there is not a liaison. However, the Fire Services Advisory Committee provides a more direct and effective method of communication between the volunteer firefighters and the Napa County Fire Department.
F8 Page 1
The volunteer firefighters have morale problems resulting from a perceived lack of appreciation by the Board of Supervisors and the Napa County Fire Department. The Napa County Fire Unit Chief and Deputy Fire Chief agree with this finding that there are morale problems resulting from perceived lack of appreciation. Although both the Board of Supervisors and the Napa County Fire Department regularly demonstrate that they highly value the volunteer firefighters, staff will continue to explore other avenues to improve morale such as public recognition. Staff believes that issues related to morale reflect the ineffectiveness of the current volunteer firefighter model, which will be addressed once the model has been updated. The Board of Supervisors agrees with this finding.
F9 Page 1
The Crestwood contract is not an accurate representation of the duties being performed, and the performance outcome metrics don't align with the reporting required by the funding grant. The Director of Health and Human Services Agency partially agrees with this finding. HHSA proactively monitors contract providers to ensure performance metrics and reporting requirements are met. Contracts for the provision of mental health services are reviewed annually and, where appropriate, revisions are made with a goal of continuous quality improvement and oversight through the provision of data. For context, the CSU which opened in 2017, was originally operationalized in part from funding through a grant secured by the California Health Facilities Financing Authority (CHFFA). A requirement of that grant funding includes ongoing annual reporting by HHSA, including providing data on performance, demographics, and community impacts. The reporting requirements are contractual obligations and our contracted provider, Crestwood Behavioral Health, provides our Behavioral Health Division with quarterly and annual data reports. In addition, our CSU works collaboratively with our community providers and shares summary demographic and other data regarding discharges in the previously referenced provider meetings to help ensure accountability and transparency in patient flow. Finally, the recently approved Fiscal Year 2023-2024 contract with our CSU provider, Crestwood Behavioral Health, reflects a better-defined scope of work, adjustments to performance metrics, and formalizes additional data collection and reporting. HHSA’s Behavioral Health Division will continue to actively perform contract monitoring and 97 collaborate on data needs. The Board of Supervisors partly agrees with the director.
F10 Page 1
The enrollment process for Everbridge is cumbersome and not well understood by the
F11 Page 1
Everbridge has not fulfilled all of its contractual obligations with Napa County.
F12 Page 1
Napa County’s staff have improved measures to facilitate communication with citizen’s

Recommendations 10