Napa County Grand Jury
• 2019-2020
Napa County Probation & Department of Corrections Contract Administration-Who is Minding the Store
⚠️ 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 and Recommendations 9 findings
F1
Neither NCDC nor NCPD provided verifiable documentation that the required annual Wellpath/County reviews and approvals of the Procedures Manual have been conducted after June 3, 2019, indicating inadequate monitoring of Wellpath’s administrative performance.
Related Recommendations (1)
R1
NCDC and NCPD require Wellpath to maintain the Procedures Manual in accordance with the provisions of the BSC Title 15 and the Wellpath Agreement. This action to be completed by December 31, 2020, and thereafter for the term of the Agreement.
F2
Neither NCDC nor NCPD provided verifiable documentation that any contractually required training was provided by Wellpath during calendar year 2019 indicating inadequate monitoring of Wellpath’s performance.
Related Recommendations (1)
R2
NCDC and NCPD require Wellpath to provide training for Probation and Correctional Personnel in accordance with the provisions of the Wellpath Agreement. This action to be completed by December 31, 2020, and annually thereafter.
F3
Neither NCDC nor NCPD are able to provide verifiable documentation that Wellpath has prepared and maintained documents required by Exhibit “A” Item 3.a. for those items which Wellpath has chosen to define as “Patient Safety activity work products” under the provision of 42 U.S.C.A. 299b, indicating inadequate monitoring of Wellpath’s performance.
Related Recommendations (1)
R3
NCDC and NCPD require Wellpath to certify the preparation of “Patient Safety activity work products.” This action to be completed by December 31, 2020, and annually thereafter. 10
F4
Neither NCDC nor NCPD provided verifiable evidence that the items annotated as “The Department does not have any documents responsive to this request.” in Enclosure (1), Table 2, have been produced, indicating inadequate monitoring of Wellpath’s performance.
Related Recommendations (1)
R4
NCDC and NCPD are to establish the existence of those items required by the Wellpath Agreement, but which are not held by the County, to be verified
F5
The County has public documents within its custody which it is withholding from examination by the Jury based on objections from Wellpath.
Related Recommendations (1)
R5
The Napa County Board of Supervisors institute a one-time audit of Wellpath’s compliance with the Scope of Work contained in the Wellpath Agreement. This audit to be independent of the NCDC and NCPD, and to include a physician with contract administration experience. This audit to be completed no later than June 30, 2021.
F6
The Jury identified a significant number of administrative deficiencies in a limited sampling of Wellpath’s work indicating inadequate monitoring of Wellpath’s performance.
Related Recommendations (1)
R6
The Napa County Auditor-Controller, the Departments of Corrections and Probation, County Counsel, and County Executive Officer are to review the provisions of the Wellpath Agreement, including Exhibits “A” and “B,” and institute the appropriate Services Agreement amendments or modifications, as provided for in the Agreement, necessary to reflect the actual contract requirements. This action to be completed
F7
Not all the Wellpath Agreement Terms or Appendix “A” Scope of Work Items are uniformly administered, indicating inadequate monitoring of Wellpath’s performance.
Related Recommendations (1)
R7
The Napa County Auditor-Controller, together with the Departments of Correction and Probation, is to establish clearly defined criteria for the confirmation that goods or services have been received from Wellpath. These criteria are to be put in place
F8
The Napa County Department of Corrections and Napa County Probation Departments approve Wellpath invoices based solely on the basis that a submitted claim agrees with the budgeted amount, not by verification of work performed. The taxpayers of Napa County are billed more than 3 million dollars a year based on this limited information.
Related Recommendations (1)
R8
The County of Napa should not accept Wellpath invoices submitted more frequently than quarterly. This policy to be implemented by the second quarter of fiscal year 2020-2021.
F9
The Wellpath Agreement calls for quarterly submittal of invoices, but the County accepts monthly submittals adding to the cost of administering the Agreement. THE GRAND JURY RECOMMENDS:
No recommendations for this finding
No Responses Found 4
Government entities assigned to respond to this report. No response documents have been linked in our database.
County of Napa
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Napa County
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Napa County Auditor-Controller
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Napa County Board of Supervisors
Elected County Office