Amador County Grand Jury • 2001-2002

2001-02 Final Report

Published: June 25, 2002 141 pages Consolidated Report
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Note: Missing finding numbers detected: F6, F7, F8, 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

Findings 6 findings

F1 Page 23
Facts: • A Joint Powers Agreement (JPA) with four other counties, San Joaquin, Stanislaus, Calaveras and Mariposa, contracts with Mountain-Valley Emergency Medical Services to provide service. June 25, 2002 2001-2002 Final Report 3 Findings: • The JPA allows more access to individuals who are expert in different areas of emergency medical care than a single county could afford. • In case of a major disaster, greater back-up resources are readily available.
F2 Page 24
Facts: • Training is provided to emergency medical personnel for Emergency Medical Technician (EMT) certification. • Mountain-Valley Emergency Medical Services Agency holds simulated disaster training for EMS responders and all other emergency response providers. • First aid and CPR training are available to the public. Findings: • Emergency Medical Technicians are up to date in their training. • Coordination between responding agencies is accomplished by on-going training.
F3 Page 24
Facts: • Reducing the response time to remote areas of our County is an on-going priority. • Many rural roads in Amador County are remote and difficult to locate and access, especially during inclement weather. • Air ambulance service is available if needed. Findings: • None Recommendations: • None Response Required: • None 4 2001-2002 Final Report June 25, 2002 Immunizations Introduction: The Grand Jury has elected to review and evaluate the Immunization Clinic pursuant to Penal Code 925. Control of communicable disease is a national priority. Funding for immunization is provided by the Federal Government to the States. The State passes the funds on to the Counties. The County Department of Health administers the programs. Amador County is conducting a Community Education Campaign to encourage parents to immunize their children. Informational packets are placed in strategic locations throughout the county. A large percentage of the population must be immunized to control the spread of communicable diseases. Certain immunizations are required for entry into public and private school. Parents have the right to waive immunizations for religious reasons only. If there is an outbreak of a disease, any students that are not immunized are excluded from school for the duration of the outbreak. Another aspect of the Community Education Campaign is health care provider education. The health Department acts as a resource on immunization schedules and the storing, handling and administration of vaccines. Recording and tracking immunization records is an important part of the program. A “blue card” is started for each child as he enters the school system that tracks all immunizations. This blue card follows the child through school, and even to different schools so that his immunization status is clear. There is also a Child Vaccine Registry that is accessible from any of the five participating Counties. Entry into the registry required parental consent. Function: The function of the Health Department Immunization Clinic is to provide immunizations as needed to children and adults in Amador County, and to provide training and information to other providers. Method of Evaluation: Members of the Grand Jury conducted interviews, reviewed documents and visited sites. Persons Interviewed: Director of the Amador County Health and Human Services Department Director of Public Health Nursing June 25, 2002 2001-2002 Final Report 5 Documents Examined: Clinic schedules Immunization Information sheets Children’s Immunization Questionnaire Immunization Registry information Sites Visited: Amador County Public Health Department Immunization Clinic 1003 Broadway, Jackson 1. Facts: • There is no charge for immunizations for children. • Adults are charged a nominal fee for Tb skin testing or immunizations. • Adult vaccines are mostly given to emergency personnel as a result of exposure. • Clinics are offered at convenient times and locations. Findings: • Immunization clinic schedules are readily available and hours are convenient. • This is a well-organized department that appears to operate quite efficiently.
F4 Page 30
Facts: • Placement of children in foster homes is determined by availability and suitability of the facility for the child or children. • Every effort is made to place children with willing and able relatives and to keep siblings together. • Foster Family Agency homes charge Amador County a substantially higher rate per child than Foster Family homes, but provide many additional benefits to both foster parents and foster children. • County social workers visit children in foster care on a monthly basis. • Group homes provide the highest level of structure for a child, however, it costs Amador County substantially more per child. Group homes are used only after efforts to place in foster homes have failed. • Due to a lack of local Foster Care homes, parents and social workers in Amador County must travel substantial distances to visit children in foster care. • Many children in foster care are from financially disadvantaged families. • Pleas for additional Foster Families made through Churches and other organizations in Amador County have gone unanswered. • Information on licensing for foster care and foster care information classes may be obtained by calling (209) 223-6550. Findings: • Family visitation is financially difficult for some parents whose child/children are living in foster care. • More licensed Foster Family homes in Amador County would be advantageous to children in foster care and their families, and would be less costly for the County. 10 2001-2002 Final Report June 25, 2002 • Foster parents certified through Foster Family Agency homes prefer to be certified through an agency rather than to be licensed through the state. They feel protected by their agency in liability matters and appreciate additional support given by agency • social workers who are available for weekly home visits as opposed to monthly visitations provided by the county social workers.
F5 Page 31
Facts: • Courts commonly order a parent or guardian to attend mandatory classes in parenting or substance abuse programs as part of the reunification process. • Many children and parents of children in foster care rely on county-provided resources for counseling, parenting classes and substance abuse recovery programs. • When counseling services are not available through the county due to financial restrictions, CPS will pay for the services through its budget. Findings: • CPS makes every effort to provide the services necessary for the reunification of families whenever possible.
F920 Page 138
The grand jury is entitled to free access, at all reasonable times, to the public prisons, and to the examination, without charge, of all public records within the county.

Recommendations 5

Conclusions 19

No Responses Found 1

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

Amador County Office of Education Agency