San Diego County Grand Jury
• 2011-2012
Tri-city Healthcare District Continuing Issues
⚠️ Translation Notice: This content has been automatically translated. The original English text is the official version. Translation may contain errors.
⚠️ Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.
Findings 7 findings
F01
The Tri-City administration was unresponsive to the records request from the complainant; however the records were provided to the Grand Jury. Fact: The Grand Jury requested an audit of Healthcare District financial records which was conducted by San Diego County‘s Office of Audits & Advisory Services.
F02
The auditors’ report found no discrepancies. Fact: The Healthcare District’s last independent audit revealed a substantial and positive turn- around in its fiscal condition.
F03
The current District management team appears to have turned a fiscal corner and put the District on the road to financial recovery, in spite of challenges posed by the Board of Directors.4 Fact: All parties interviewed agreed that the Board is not functioning in a productive manner. Fact: Within the past year the Board has been involved in several lawsuits among its fellow members.
F04
Members of the Board do not appear to work together.
F05
Board meetings are disorderly and lacking in cooperation and respect. Some Board members appear to show open contempt for each other. Fact: Many Board members have been disciplined, sanctioned, rendered ineffective because of potential conflict of interest issues or compromised by personal issues involving professional credentials and education. Report of Independent Auditors and Consolidated Financial Statements for Tri-City Healthcare District – June 30, 2011 and 2010 159 Fact: Some members have been or are currently barred from all closed meetings for inappropriate behavior. Fact: One Board member must participate from another room under uniformed guard.
F06
There appears to be minimal structure and order in the meetings. Fact: The terms of four of the seven seats on the Board of Directors expire in November 2012.
F07
The Grand Jury believes the coming election to be an excellent opportunity for the electorate to remake the current Tri-City Healthcare District Board of Directors into a less distracting and more professional body.
Recommendations 5
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12-45Page 4Adhere to Board policies and procedures.
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12-46Page 4Conduct their meetings using Robert's Rules of Order.
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12-47Page 4Seek professional training aimed at team-building and appropriate meeting
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12-48Page 4Convene a representative panel consisting of representatives from the cities
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12-49Page 4Conduct informational campaigns to underscore the necessity of encouraging
Commendations 1
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CM1The Grand Jury commends the Tri-City Hospital staff for maintaining a high standard of patient care and optimism for the District’s future in spite of the challenges presented by the governing body. 160 SAN DIEGO COUNTY GRAND JURY 2011/2012 FINAL REPORT (June 21, 2012) REQUIREMENTS AND INSTRUCTIONS The California Penal Code §933(c) requires any public agency which the Grand Jury has reviewed, and about which it has issued a final report, to comment to the Presiding Judge of the Superior Court on the findings and recommendations pertaining to matters under the control of the agency. Such comment shall be made no later than 90 days after the Grand Jury publishes its report (filed with the Clerk of the Court); except that in the case of a report containing findings and recommendations pertaining to a department or agency headed by an elected County official (e.g. District Attorney, Sheriff, etc.), such comment shall be made within 60 days to the Presiding Judge with an information copy sent to the Board of Supervisors. Furthermore, California Penal Code §933.05(a), (b), (c), details, as follows, the manner in which such comment(s) are to be made: (a) As to each grand jury finding, the responding person or entity shall indicate one of the following: (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 of the reasons therefor. (b) As to each grand jury recommendation, the responding person or entity shall report one of the following actions: (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 time frame for implementation. (3) The recommendation requires further analysis, with an explanation and the scope and parameters of an analysis or study, and a time frame for the matter to be prepared for discussion by the officer or head of the agency or department being investigated or reviewed, including the governing body of the public agency when applicable. This time frame shall not exceed six months from the date of publication of the grand jury report. (4) The recommendation will not be implemented because it is not warranted or is not reasonable, with an explanation therefor. (c) If a finding or recommendation of the grand jury addresses budgetary or personnel matters of a county agency or department headed by an elected officer, both the agency or department head and the Board of Supervisors shall respond if requested by the grand jury, but the response of the Board of Supervisors shall address only those budgetary or personnel matters over which it has some decision making authority. The response of the elected agency or department head shall address all aspects of the findings or recommendations affecting his or her agency or department. Comments to the Presiding Judge of the Superior Court in compliance with the Penal Code §933.05 are required from the: 161 SAN DIEGO COUNTY GRAND JURY 2011/2012 FINAL REPORT (June 21, 2012) Responding Agency Recommendations Date Tri-City Healthcare District 12-45 through 12-47 8/29/12 Board of Directors San Diego Local Area Formation 12-48 8/29/12 Commission (LAFCO) San Diego County Board of 12-49 8/29/12 Supervisors City Manager, City of Carlsbad 12-49 8/29/12 City Manager, City of Oceanside 12-49 8/29/12 City Manager, City of Vista 12-49 8/29/12 Filed: May 30, 2012 162 SAN DIEGO COUNTY GRAND JURY 2011/2012 FINAL REPORT (June 21, 2012)
Agency Responses 2
Government agencies' official responses to this report's findings and recommendations. Click on a response to see the structured breakdown.
No Responses Found 4
Government entities assigned to respond to this report. No response documents have been linked in our database.
Oceanside
City
San Diego County Board of Supervisors
Elected County Office
San Diego LAFCO
Lafco
Tri-City Healthcare District
Special District