-4a6a58b44d8f4fc Michelle Aguirre County Executive Officer Enclosure*

The County's hiring process sometimes limits the HCA's ability to hire the best- qualified candidates. Response: Disagrees wholly with the finding The County of Orange (County) hiring process is designed to ensure fairness and transparency while focusing on candidates' competencies and qualifications. The County Board of Supervisors' (Board) established Mission Statement includes a commitment to "creating a positive, service-oriented culture which attracts and retains the best and brightest." Additionally, one of five Board Strategic Plan Priorities is to "Simplify/increase flexibility of administrative policies and procedures." The County's Chief Human Resource Services Officer implemented tools such as same day hiring fairs to expedite hiring and revised selection rules to ensure the County's hiring practices are competitive with private industry while remaining in compliance with laws applicable to the hiring of government employees and the Board's mission and priorities.

Not all HCA employees fully cooperate with the HCA Office of Compliance. Response: Disagrees partially with the finding. While it's possible that some individuals may not fully engage with the Office of Compliance, there are other ways for employees to similarly communicate such as with their manager/supervisor and County Counsel. HCA is committed to maintaining a culture of collaboration and trust and, in support of this effort and in light of this finding, the County Procurement Office is engaging an outside consultant to assist in review of HCA's compliance policies and practices for consistency/compliance with legal and regulatory standards. Attachment B Page | 2

Correctional Health has built and maintains a collaborative relationship with the Orange County Sheriff's Department, benefiting the County, its employees, and the incarcerated population. Response: Agrees with the finding.

Behavioral Health is undergoing and anticipating major funding changes and prioritizes their services in a reactive manner driven by State mandates. Response: Agrees with the finding. Behavioral Health Services (BHS) responds to funding changes made by the state as soon as information is provided by the state.

Public Health Services does not routinely disseminate information to the Orange County public on communicable diseases, if any. Response: Disagrees wholly with the finding The County Health Officer / Public Health Services holds an annual State of Public Health for the general public and shares information with the public when communicable diseases occur, as outlined in statute.