Board of Supervisors Bill Connelly, Chair First District Administration Center Jane Dolan

R1

The A-C and the CFO should jointly develop a specific plan for resolving the issues regarding the workioad not transferred fiom the A-C's Ofice to the CFO's Wce. The recommendation has not yet been implemented but will be implemented in the future. Due to budget constraints, it may take two or three years for some duties to completely transfer to the CFO's Office. Meanwhile, staff fiom the CFO, Audiior-Controller, and Treasurer/Tax Collector's Office will continue to work closely to ensure that all the finance duties are properly performed.

R2

The District should continue to educate the public and encourage the voluntary conversion of inefective wood burning devices to EPA certified models. The respondent is unable to comment on these recommendations. Even though the Butte County Board of Supervisors was requested to respond, the recommendations are directed at the Butte County Air Quality District, which is an independent governmental entity. However, it should be noted that all five members of the Butte County Board of Supervisors sit on the goveming board of the Butte County Air Quality District. In its response, the district agrees with the recommendations and reports that it is currently working to implement them. AUDITOR-CONTROLLER'S OFFICE Grand Jury Findings FI. A portion of workload scheduled to be transferredfiorn the A-C's Ofice to the CFO 's Ofice has not yet occurred. The respondent agrees with the fmding. Due to the budget constraints and elimination of finance staff, some duties of the Auditor Controller's Office have not been moved to the CFO's Office.

R3

Develop a continual cross trainingp rogram and implementation schedule. The respondent is unable to comment on this recommendation since it .is directed to the Auditor-Controller, an elected official.

R4

Update the division Procedural Manuals. The respondent is unable to comment on this recommendation since it is directed to the Auditor-Controller, an elected official.

R5

Create andpublish individual desk Procedural Manuals. The respondent is unable to comment on this recommendation since it is directed to the Auditor-Controller, an elected official. BEHAVIORAL HEALTH DEPARTMENT Grand Jury Findings 4 Fl. There is no plan in place to hire a permanent Director who will reorganize and stabilize BCDBH. The respondent disagrees with tbe finding. The Board intends to find a permanent director of the department in the near future. The Interim Director, meanwhile, has done an admirable job of reorganizing and stabilizing the department.

R6

A plan andprocess for monitoring contracts should be developed The recommendation bas been implemented.

R7

Productivity levels need to be established and enforced Qualified medical and clinical supervisors should interface with patients a percentage of the time. A portion of the recommendation will be implemented in the future, and another portion of the recommendation will not be implemented. Currently, productivity levels are being reviewed by a team of line staff, supervisors and managers. This team will make recommendations for adjustments to productivity standards no later than November 30, 2009 and will assist with implementation, including accountability. This will be an on-going effort. The recommendation to set a quota for patient interface for clinical supervisors will not be implemented as it is not warranted. Managers and supervisors will continue to provide backup services as necessary.

R8

Additional residential facilities that meet state mandated requirements and licensing qualifications should be encouraged for the purpose of treating and housing youth locally. This would be advantageous to the families involved and save the County a great deal of money. The recommendation has been partially implemented. A local youth residential facility opened in January 2009. The program is still in the implementation phase.

R9

Additional residential facilities that meet state mandate requirements and licensing qualifications should be developed for *eating and housing adults needing long-term placement locally, again saving out-of-county costs. The recommendation has been partially implemented. A local adult residential facility opened in April 2009. The program is still in the impkmentation phase. RIO. Partnerships with local hospitals in the County need to be developed for the collaborative treatment and care of severely mentally ill patients. This recommendation has been partially implemented. As mentioned earlier, the department has been working with local hospitals and will continue to work with them. RI1 . The classificationp rocess and position allocation for the Systems Performance Evaluation Coordinator should be completed and accepted by the Board of Supervisors as soon as possible. The recommendation has not been implemented but will be implemented in the future. It is anticipated that the Systems Performance Evaluation Coordinator position will approved by the Board of Supervisors by September 30,2009. RI2. Overhead operating costs should continue to be monitored and kept at or below the state requirement level of$fleenpercent to qualifif or state reimbursement. The recommendation will not be implemented because it is not warranted. There is no State requirement limiting overhead operating costs for direct service centers to fifteen percent, nor is it feasible to do so. The administrative Medi-Cal claim, which is sometimes confused with overhead operating costs, is limited to fifteen percent of total Medi-Cal service billings. The administrative claim includes fiscal, personnel, technology and similar s~ppoase rvices and County overhead charges.

R10

Consider imerting, in the local phone directory or property assessments, information about emergency travel routes and public assembly points, as shown in

R11

The classification process and position allocation for the Systems Performance Evaluation Coordinator should be completed and accepted by the Board of Supervisors as soon as possible. The recommendation has not been implemented but will be implemented in the future. It is anticipated that the Systems Performance Evaluation Coordinator position will be approved the Board of Supervisors by September 30,2009.

R12

Overhead operating costs should continue to be monitored and kept at or below the state requirement level of fifteen percent to qualij. for state reimbursement. The recommendation will not be implemented because it is not warranted. There is no state requirement limiting overhead operating costs for direct service centers to fifteen percent, nor is it feasible to do so. The administrative Medi-Cal claim, which is sometimes confused with overhead operating costs, is limited to fifteen percent of total Medi-Cal service billings. The administrative claim includes fiscal, personnel, technology and similar support services and County overhead charges. The Department continues to monitor administrative costs, however recent changes to the Countywide Cost Allocation Plan will affect the Department's ability to keep these costs below fifteen percent. These changes are outside the Department's control.

R13

The Board of Supervisors should become more regularly informed and more involved with thef iscal afairs and administrative structure of BCDBH, The recommendation has been implemented. The Board of Supervisors is well informed on key issues of the department including fiscal affairs and structure of management. The Board has actively engaged the public and the department by calling for and participating in regular and detailed workshops to discuss key issues of the department. Moreover, the department presents policy issues at regular Board meetings wherein the Board makes informed decisions. Furthermore, a member of the Board of Supervisors sits on the Mental Health Advisory Board, consistently attends meetings, vigorously participates in the discussions, and regularly reports back to the full Board of Supervisors. RI4, The Psychiatric Health Facility should retain fir11 coverage stafing in order to continue to operate atfull capacity. The recommendation has been implemented.

R14

The Psychiatric Health Facility should retain full coverage staffing in order to continue to operate at full capacity. This recommendation has been implemented.

R15

The Crisis Stabilization Unit should retain &I1 coverage stafing in order to continue to operate at&ll capacity. The recommendation has been implemented.

R16

Clinics and counseling center's caseload ratios should be studied and reassessed. The recommendation has been implemented. RI 7. The Representative Payee Program should be contimud in itsf ill capacity and should not be outsourced. The recommendation has been.implemented. RIB. The Board of Supervisors should pursue receipt of the outside audit done in August-September, 2008. The recommendation has not been implemented but will be implemented in the future. It is anticipated that the final report related to the fiscal review of the Department will be completed in December 2009 and presented to the Board sometime thereafter. BUTTE COUNTY JAIL Grand Jury Findings Fl. The west facility received an equipment update to make it a state of the art facility. One oflcer can control digital video recorders, open and close individual doors, and give commands and information to the inmates while they are in their cells. The respondent agrees with the finding.

R17

The Representative Payee Program should be continued in its full capacity and should not be outsourced. This recommendation has been implemented. The Representative Payee Program will continue to be responsive to individual client needs, goals circumstances and preferences. The clients and clinical staff will continue to work together to evaluate individual client goals/needs and ensure c with increased levels of functioni an graduate from this supportive program as ap Clients will continue to be a o r t e d to pursue their own wellness and recovery goals.

R18

The Board of supervisors should pursue receipt of the outside audit done in August- September, 2008. The respondent is unable to comment on this recommendation. The respondent does not have the authority to implement the recommendation. However it is anticipated that the final report related to the fiscal review of the Department will be completed in December 2009. Edward Walker Interim Director Department of Behavioral Health MEMBERS OF THE BOARD 25 COUNTY CENTER DRIVE BILL CONNELLY OROVILLE, CALIFORNIA 95965-3380 JANE DOLAN Telephone: (530) 538-763 1 Fax: (530) 538-7120 MAUREEN KIRK STEVE LAMBERT KIM K. YAMAGUCHI Gregory Iturria Interim Chief Administrative Ofticer August 14,2009 Honorable James F. Reilley, Presiding Judge Butte County Superior Court One Court Street Oroville, CA 95965 Re: Chief Administrative Officer's Response to the 2008-2009 Grand Jury Final Report Honorable Judge Reilley, Penal Code Section 933 and 933.05 provides that 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. The Board of Supervisors, as the governing body of the County of Butte, will provide its response to the 2008-2009 Grand Jury Report by the statutory deadline. The Grand Jury, though, has asked that all departments mentioned within that report provide a direct response to the Presiding Judge. While all legal requirements for a response to the Grand Jury Report have been met by the County of Butte with the Board of Supervisors response, in the spirit of cooperation, I am providing this direct response to those areas where the Grand Jury sought a response from the Chief Administrative Officer. One of the roles of the Chief Administrative Off~ceris to act as the de facto chief of staff to the Board of Supervisors. In that role, I directed the preparation of the Board of Supervisors' initial response to the Report. It should not be a surprise, therefore, that my response to the Report, as the Interim Chief Administrative Officer, is very similar to the response provided by the Board of Supervisors. I am also responding in my regular role as the Chief Financial Officer. AUDITOR-CONTROLLER'S OFFICE Grand Jury Findings Fl. A portion of workload scheduled to be transferredfiom the A-C's Ofice to the CFO's Ofice has not yet occurred The respondent agrees with the fmding. Due to the budget constraints and elimination of finance staff, some duties of the Auditor Controller's Office have not been moved to the CFO's office.