Santa Cruz County Grand Jury • 2013-2014

To the citizens and employees of Santa Cruz County, The Santa Cruz County Civil Grand Jury, made up of nineteen of your

Published: May 01, 2014 149 pages Consolidated Report
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Findings and Recommendations 15 findings

F1 Page 27
County medical staff in 2012 at the Main Jail did not follow accepted standards of care in treating an inmate with complications arising from intravenous opiate abuse.
No recommendations for this finding
F2 Page 27
There was inadequate communication between Dominican Hospital and the Main Jail medical staff regarding a critical change in diagnostic information.
No recommendations for this finding
F3 Page 27
CFMG’s current procedures may fail to detect diagnostic updates by Dominican Hospital under certain situations.
No recommendations for this finding
F4 Page 27
CFMG staff failed to identify and treat symptoms of methadone overdose.
No recommendations for this finding
F5 Page 27
CFMG staff at the Main Jail has insufficient oversight and treatment facilities for inmates confined in ‘O’ Unit.
No recommendations for this finding
F6 Page 27
Corrections Bureau and CFMG policies differ over when to call CFMG staff for intake screening of inebriated individuals at the Main Jail.
No recommendations for this finding
F7 Page 27
Corrections Bureau staff at the Main Jail made incorrect judgements regarding the use of monitored housing for inebriated or impaired individuals.
No recommendations for this finding
F8 Page 27
The availability of CIT staff is not adequate for the proper determination of an inmate’s needs for immediate mental health medication and monitoring during intake at the Main Jail.
No recommendations for this finding
F9 Page 28
During the period covered by our investigations, CIT had inadequately documented procedures and lax medical record keeping for the mental health care of inmates at the Main Jail.
No recommendations for this finding
F10 Page 28
Corrections Bureau regulations for the frequency of cell inspections and the enforcement of rules governing items permitted in cells have not been consistently followed by Corrections Bureau staff at the Main Jail.
No recommendations for this finding
F11 Page 28
During the period covered by our investigations, Corrections Bureau protocols and screening practices for individuals entering the Main Jail were insufficient for the interception of illegal drugs.
No recommendations for this finding
F12 Page 28
CFMG has an extensive catalog of best practices based on decades of experience that are detailed in CFMG protocol manuals and maintained through regular training, review, and audits.
No recommendations for this finding
F13 Page 28
The addition of a Compliance Officer to the Corrections Bureau staff, and a new regime of accountability, should result in an improvement in regulation compliance and enforcement at the Main Jail.
No recommendations for this finding
F14 Page 28
CIT record keeping procedures and treatment protocols are undergoing a much needed process of review and improvement.
No recommendations for this finding
F15 Page 28
CIT has established an improved protocol for gradually transitioning inmates under mental health watch in ‘O’ Unit back into the general population.
No recommendations for this finding

Commendations 5

No Responses Found 3

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

County Service Area No. 2 (Santa Cruz) Special District
Santa Cruz County County
Santa Cruz County Sheriff Elected County Office