Sacramento County Grand Jury
• 2008-2009
Dedication The members of the 2008-2009 Grand Jury dedicate this Final Report to
⚠️ 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 32 findings
F1
There is a longstanding absence on the part of HHS and CPS management to accept responsibility and accountability for the role of CPS in meeting its community responsibilities. This is a recurring criticism found for over a decade of many published reports.
F2
A shield of privacy and secrecy that surrounds much of the operations of CPS is unwarranted. This lack of transparency serves to raise questions and leads to inaccurate conclusions being made regarding what takes place in CPS. The acknowledged need to protect the confidentiality of case information can be accomplished without adopting a “closed door” attitude.
F3
1: CPS personnel have rarely had performance evaluations.
F4
The County’s Human Resources Department (HR) disseminated annual evaluation reminders to CPS management. However no follow-up action was done to see if such evaluations actually took place.
F5
HR has neglected to train supervisory personnel in the proper method of personnel evaluation.
F6
Substantial finger pointing exists between CPS and HR personnel regarding quality of service. 20
F7
Disciplinary proceedings are compromised by the absence of evaluations of all employees.
F8
There is an average time of one year from the start of paid administrative leave to resolution. This contributes to the caseload of other employees, and decreases staff morale.
F9
According to sworn testimony, the recent HR reorganization increased the ratio of CPS disciplinary cases per HR analyst.
F10
Poor communication between HR and CPS contributes to lengthy disposition of discipline cases.
F11
A 22 percent annual turnover rate in CPS social workers is a major impediment to program efficiency and effectiveness.
F12
Skilled social workers who do not want to be supervisors have no way to be promoted.
F13
1: Except for the first year of employment, employees are not compliant with the 30-hour training requirement. In a sample review of 60 employee records, 50 were not in compliance.
F14
Training entries for new employees do not show the correct total number of training hours those employees actually took.
F15
1: A caseload is not defined.
F16
Social workers do work that could be done by support staff.
F17
Management has not required personnel to take full advantage of their available software. CPS management acknowledges its failures to fully use these systems. 23
F18
The Grand Jury found that supervisory personnel and upper management were not adequately using IRIS. The current design of the software changes each case entry information to a red font when the case exceeds certain limits. This is helpful but does not provide enough information about the urgency of the case.
F19
The CWS/CMS software package is provided and controlled by the State and cannot be modified by CPS IT personnel. These personnel can recommend appropriate change through statewide user-councils to improve the software.
F20
There is a lack of management control of SDM usage. It was reported to the Grand Jury that at most 60 percent of the social workers adequately use SDM. The Self Assessment Report states: “. . . its use remains inconsistent and inaccurate.” 24
F21
The SafeMeasures program has not been used adequately by many of the supervisors and managers. Usage is reportedly less than 20 percent.
F22
Quality Assurance (QA) personnel are not knowledgeable in the use of all the software and were not using the SafeMeasures software to assess the quality of services provided.
F23
The CPS in-take phone lines currently do not have recording capability. CPS personnel have investigated this issue and found that other counties have this capability and it did not interfere with reporting.
F24
Testimony from CPS management indicates that social workers do not have electronic devices to record information while they are in the field.
F25
Currently social workers, with password generation devices called “Tokens” (a secure means of handling sensitive data) can access the CWS/CMS computer system from home. CPS has issued about 80 of these “Tokens.” 25
F26
Flaws in the SDM may result in children being exposed to dangerous and abusive conditions. The Risk Assessment process requires that CPS respond within 24 hours if a child is under age two. If the child is over two, the response time may be extended to ten days.
F27
SDM is not been utilized as envisioned. Testimony indicated that this valuable risk assessment tool was frequently completed after the fact and viewed simply as an administrative “requirement” by social workers.
F28
SDM allows a response of ten days even when there is a history of “physical abuse, domestic violence, caregiver mental health, or substance abuse concerns” if there is a “responsible” adult on the premises. Experts in domestic violence state that if there is domestic violence in the home there is a 50 percent chance that the children will also be abused. When these circumstances exist, no adult on the premises should be considered “responsible. “
F29
The California Family Risk Assessment Tool can fail to adequately determine the level of risk to which a child may be exposed.
F30
2: The CPS manual does not have a usable table of contents, index, or electronic search engine capability.
F31
The law governing reporting does not require that the Mandated Reporter hold or detain a child suspected of being abused. It only requires that he or she report the suspected abuse to the proper authorities.
F32
The Grand Jury does not have full access to unredacted reports for legitimate investigative purposes.
Recommendations 32
-
R11: The Board of Supervisors conduct a thorough assessment of the performance of HHS and CPS management. These administrators must demonstrate more than subject matter expertise. They must demonstrate an ability to ignite the enthusiasm of CPS supervisory and rank and file professionals and exhibit the creative energy and management skill necessary to lead CPS in the challenges ahead.
-
R2Greater transparency of CPS operations must be exhibited on the part of CPS management. They should do more to aggressively open the doors of CPS activities to the eyes of the public, the County Board of 19 Supervisors, non-profit organizations, K–12 schools and universities, the Legislature, the medical community, and the media. Transparency does not prevent possible negative publicity, but does mean that questions can be asked and answered in an atmosphere of openness and honesty. Evaluations
-
R3The completion of yearly evaluations on all employees must be recognized as a critical, high priority activity required of supervisors and managers.
-
R4HR must accept its responsibility for ensuring the completion of annual performance appraisals as part of their fundamental personnel oversight responsibilities.
-
R5CPS supervisory personnel must attend a training course specifically focused on employee performance evaluations
-
R6Greater interdepartmental cooperation must exist between CPS and the HR Department. CPS management must do more to demand and improve the delivery of services from the HR Department. Management attention and involvement must be brought to the table to reconcile this festering issue. Discipline Procedures
-
R71: CPS management should work with the Human Resources Department to immediately complete employee evaluations on all CPS personnel.
-
R81: Given the number of cases referred for discipline and the lengthy time until resolution, the Grand Jury recommends that more of the current HR staff be reallocated to CPS.
-
R9An alternative organizational structure, which would provide more efficient HR disciplinary support to CPS, should be considered.
-
R10HR should develop effective training seminars for all supervisors and managers of CPS to promote greater understanding of the requirements needed for a rapid adjudication of cases. Recruitment and Retention
-
R11CPS management should prepare an analysis of this turnover problem and implement a recommendation plan.
-
R12Establish a “specialist” classification in CPS available to social workers who are able to take on unique and complex cases. Training
-
R131: Program managers and supervisors must ensure that their employees attend classes and satisfy the 30-hour annual requirement. 22
-
R14CPS should review the training log for accuracy and corrects erroneous entries. Caseload
-
R151 CPS should define a case and establish caseload and workload criteria.
-
R16Tasks not needing the skills of a social worker should be turned over to support staff. Information Technology
-
R171: All CPS personnel should be required to pass software proficiency examinations.
-
R181: Division Managers should provide additional IRIS training and demand greater use of the software by program managers and supervisors. Program Information Notice 08-12, which provides detailed instructions of the use of IRIS, should be strictly followed.
-
R191: Changes should be made that will not allow deleting, but will require strikeouts and additional comments.
-
R20Social workers should be required to use SDM 100 percent of the time.
-
R211: All supervisors and management should receive additional training in the use of SafeMeasures.
-
R22QA personnel should receive training in the use of all CPS software and be required to use SafeMeasures in their assessment of CPS programs.
-
R23High priority should be given to purchasing and installing the voice recorder system as soon as possible.
-
R24CPS should investigate electronic devices that could improve social worker efficiency. Factors such as worker safety and client confidentiality should be considered.
-
R25This system should continue but annual reassessments should be conducted to evaluate its value, safety and security. Structured Decision Making and Risk Assessment Tools
-
R26The County should expand this age group to five and under. With this change in place any child who is not of school age would require 24-hour response.
-
R27Social workers should use the SDM tool as designed to adequately assess risk.
-
R28Whenever there is prior history of physical abuse or domestic violence, the response should be 24 hours or less.
-
R29CPS should reexamine this tool and find ways to improve its usage. Policies and Procedures Manual
-
R30The CPS policy manual should be completely rewritten to include an index and expanded table of contents and be in digital form with electronic search capability. Legislative Needs
-
R311: The County Board of Supervisors should request the State Legislature amend the appropriate sections of the Penal Code to authorize such detention.
-
R321: The County Board of Supervisors should request the State Legislature amend Welfare and Institutions Code 827 to include the Grand Jury in the list of “Persons Authorized to View Juvenile Records without a Petition or Court Order.” 27
Conclusions 3
-
CL1Did the contractor who was awarded the project file bankruptcy before the
-
CL2cart washing equipment was operational? Are oak trees endangering the golfers?
-
CL3Reason for the Investigation The Grand Jury initiated this investigation as a result of a citizen's complaint. Method of Investigation Building Permits: The Grand Jury contacted the City of Sacramento Development Services Department to obtain a print-out of all building permits that have been issued for construction at any time at the Haggin Oaks Golf Course. Copies of permits for the cart washing machine were also reviewed. Water Drainage: The Grand Jury made an on-site inspection to determine the extent of drainage into the creek. The EPA website was examined and personal interviews conducted. Contractors Business Status: The Grand Jury, conducting web searches of Sacramento Business (a website on Sacramento businesses by the California Secretary of State), Sacramento Better Business Bureau, and Contractors State License Board to determine the business status of the contractor. Oak Trees: The Grand Jury conducted a site visit with the Operations Manager to review conditions of the trees.
Observations 67
-
OB1Conflict of Interest, Sacramento International 1998 Encroaching Land Use 2002
-
OB2Executive Airport 1994
-
OB3Oversight of Contract Services 2006 Elk Grove
-
OB4Elk Grove City Council 2006 Elk Grove City Council (Response) 2007
-
OB5Elk Grove USD Fails Fiduciary Responsibility 2002
-
OB6• Elk Grove USD (Response) 2003 Elk Grove Animal Services 2008
-
OB7٠ Fair Oaks Cemetery District Management 1993 Head Stone Damage 2006 Folsom Credit Card Usage-City of Folsom 2001
-
OB8Folsom Sewage Spills Continue 2002 Landscape and Lighting District Assessment 2005
-
OB9Galt Failure to Oversee Delivery of Services Contracted 2005
-
OB10Galt-Arno Cemetery District Operations 1997, 2001 Lighting and Landscape Districts 2001
-
OB11Misuse of Appointive Power by City Council 2003 ٠ Review of Galt-Arno District Operations 1998 Isleton Administrative and Fiscal Problems 1995
-
OB12Complaints Against the Police 1998,1999,2001,2006 Policies and Procedures 1995,1999 Governance, "Small City - Big Challenges" 2008
-
OB13Sacramento City Convention Center Operation 1997 Financial Incentives for Targeted Business 1997
-
OB14Mayor's Office: Use of Time and Resources 1998 ٠ North Natomas: Development Gone Awry 2007 ٠ Regional Radio Communications Review 1999 ٠ Sewer Discharge into the American River 2001 Sacramento City Unified School District Retirement 2006 County of Sacramento Certificates of Participation 1994 Complaint against Taxi Owners 2005,2006 Communications and Information Technology 1999 County Civil Service Commission 2005 County Civil Service Commission (Response) 2006 1993 County Employee Evaluations County Heat Emergency Response 2007 Failure of County to Oversee Contract Services/Galt 2005
-
OB15Firefighters, Our Local Heroes 1996 ٠ Financing of Local Government 1994 ٠ Flood Risk in Sacramento County 2007
-
OB16Homeland Security, Ready or Not 2005 ٠ Homeland Security, Ready or Not (Response) 2006
-
OB17Letter Grades for Restaurants 2003
-
OB18Sacramento-Yolo Port District 1995
-
OB19Coroner's Office Crime Laboratory 1993,2000
-
OB20Death Investigations 2003 ٠ Fees for Transporting Bodies 2000 ٠ Review of Vendor Contracts/RFP 1999 District Attorney's Office Bureau of Family Support 2002
-
OB21Child Abuse and Neglect 1998 Child Support and Welfare Agencies 1998 ٠ Child Support and Collection Enforcement 1997
-
OB22Communication and Internal Management 1993 ٠ Multidisciplinary Interview Center 1993 ٠ Political Activities in School Districts 1997 American River Flood Control District 1997
-
OB23Department of Health and Human Services Adult Protective Services 1996,1997,2002
-
OB24Aging Out Foster Children-Foster Parents 2001 Child Support and Welfare Agencies 1994
-
OB25Child Protective Services at the Crossroads 2000
-
OB26Child Protective Services Intake Services 2006 Changes Needed in Juvenile Mental Health Services 2002
-
OB27Children's Receiving Home 1999
-
OB28Development of New Programs for Foster Children 2005 ٠ Family Maintenance and Reunification 1995 ٠ Juvenile Hall Mental Health Services 1993
-
OB29Mental Health Services in Juvenile Justice System 2001
-
OB30Mental Health Treatment Center 1999
-
OB31Public Guardian and Conservatorship 1995 Environmental Services Department Mismanagement of the Environmental Department 2000 Review of Conflict of Interest Statement 1997 Medical Services County Emergency Ambulance Provider 1993 Flood Disaster Evacuation of Medically Infirm 2006
-
OB322006 Goals and Objectives of Mental Health Services
-
OB33Mental Health Services in the Juvenile Justice System 2001
-
OB34Probation Department Boy's Ranch and Carson Creek High School 1995
-
OB35Domestic Violence Programs 2002
-
OB36Juvenile Hall Mental Health Services 1993 Juvenile Justice Facilities and Staffing 2000
-
OB372002 Unequal Treatment of Female Inmates
-
OB38Public Library Sacramento Public Library Authority 2008
-
OB39County Library Authority 2000
-
OB40Use of Alternate Sentencing Volunteers 1993 Sheriff's Department Rio Cosumnes Correctional Center 2007 ٠ 1998 Escape at Cosumnes ٠ Women's Detention Facility 1994
-
OB41Main Jail Handling and Security of Inmate Correspondence 2005
-
OB42Jail health Inmate Psychiatric Services 2004 ٠ Jail Training for Officers 1995 ٠ Main Jail Health Care 2006
-
OB43Use of Prostraint Chair 1998 ٠ Women's Holding Cells 1997
-
OB44Sheriff's Tactical Air Response Operation 1993 ٠ Work Release Program 2007
-
OB45Special Districts Retained Earnings-Sacramento County Special Districts
-
OB462001 Certificates of Participation 1994
-
OB47Financing of Local Governments 1994
-
OB48Remuneration to Special District Board Members 1994
-
OB49American River Flood Control District 1997
-
OB50Cable TV Commission and the Brown Act 1994
-
OB51American River Fire District Management Review 1993
-
OB52Wilton Firefighters on Fire Board of Directors 2002 Mosquito and Vector Control District Operations 1999
-
OB53Regional Sanitation District Economic Incentives 1997 ٠ Sacramento Housing and Redevelopment Agency 1994 SMUD, Economic Development Plan 1997
-
OB54SMUD, Rancho Seco Nuclear Power Plant 2007 ٠ Carmichael District Operational Issues 1997
-
OB55Elk Grove USD Fails Fiduciary Responsibilities 2002
-
OB56Elk Grove Benefits Employee Retirement Trust 2008
-
OB57Folsom/Cordova USD Inventory Practices 1993
-
OB58Grant/ Union USD Inappropriate Use of Public Funds 2004 Policies, Procedures and Administration 1994
-
OB59Sacramento City USD Management, Fiscal Problems 1995
-
OB60School District Maintenance 1995 Allegation of Dual Employment, Two Public Agencies 1998 Board of Education Oversight of CASA 2004
-
OB61Lack of Response to Requests for Information 1997
-
OB62School Safety in Jeopardy 2003
-
OB63Students Walking to School 2005 Volunteers Working on School Grounds 1993
-
OB64Non-Profit Organizations
-
OB65Children's Receiving Home 1993
-
OB66Sacramento Handicapped Parking Patrol Inc. 1995 State Prison System
-
OB67Transport of Prisoners for Non-Emergency Medical Care 2002