Score: +28
(28/4/0)
Sacramento County Grand Jury
• 2005-2006
Flood Disaster Evacuation of the Medically Infirm Issue In the event of a mass evacuation due to a flood disaster, what
Published: June 30, 2006
13 pages
⚠️ Aviso de traducción: Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.
⚠️ Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.
Findings and Recommendations 10 findings
F1
The Flood Annex to the county’s All-Hazards Emergency Operations Plan is projected for completion by September 2006.
Related Recommendations (1)
R1
The county must make the completion of the Flood Annex to its All- Hazards Emergency Operations Plan a matter of high priority.
F2
The Sheriff’s Department has not fully developed standard operating procedures for a mass evacuation due to a flood disaster.
Related Recommendations (1)
R2
The Sheriff’s Department should, by August 2006, complete the development of standard operating procedures for a mass evacuation due to a flood disaster. This should include plans for the evacuation of the medically or mentally infirm due to age or disability.
F3
While the county has established a Geographic Information System that maps the location of nursing homes, assisted living and congregate care facilities within the county, it lacks adequate means of identifying and locating most of the special needs populations in the event of a flood disaster.
Related Recommendations (1)
R3
The county should develop and maintain a comprehensive database for the location and telephone numbers of skilled nursing facilities, assisted living facilities, board and care facilities, home health care and hospice agencies, senior centers, veterans homes, group homes for the mentally ill, client providers for persons with identified special needs, and other congregate care facilities, including numerous state licensed small scale adult day health care centers, in order to facilitate emergency communication directly or through such agencies in the event of a flood. For this purpose, each such provider or facility should be required to maintain a current list of client telephone numbers and addresses.
F4
The “Privacy Rule” component of the Health Insurance Portability and Accountability Act of 1996 is deemed by many to constitute a barrier to the sharing of lists of client names, locations and telephone numbers to county or other emergency officials under any circumstances.
Related Recommendations (1)
R4
The county should secure and distribute to all pertinent public and private agencies a formal opinion of the Sacramento County Counsel and/or the Attorney General on the effect of HIPAA upon the sharing of lists of such information in the event of an imminent disaster. 37
F5
The county has not established a full partnership of private care facilities and agencies for the evacuation of special needs clients in the event of a flood disaster.
Related Recommendations (1)
R5
The county should require training for managers and staff of private care facilities and agencies, along with formalized agreements specifying the roles and responsibilities of such facilities and agencies in the event of a flood.
F6
The county lacks adequate access to fully staffed emergency-ready specialized transportation vehicles, wheelchair and gurney capable, and fully supplied with oxygen, insulin and other essential medicines.
Related Recommendations (1)
R6
The county should secure or contract for immediate access to a determined number of emergency ready, fully staffed and equipped specialized transportation vehicles, for the transportation of persons with special needs to appropriate shelters or in-kind facilities within the region.
F7
The county has not fully identified the local hospital surge capacity under various circumstances of a flood disaster, which could impede access to one or more of those facilities.
Related Recommendations (1)
R7
The county should identify the local hospital surge capacity under various circumstances of a flood disaster, and provide for alternate care sites for special needs persons who might otherwise require hospitalization.
F8
While the county has provided for mass shelters for general population evacuees, these shelters would not have the ability to provide for special needs persons who are medically or mentally infirm due to age or disability.
Related Recommendations (1)
R8
The county should provide, reserve, staff, and equip one or more shelters for the special needs of the medically or mentally infirm due to age or disability.
F9
The county has not engaged in comprehensive pre-mobilization planning, training, or exercises for the participation of county, city and other local agency employees in mitigation and relief efforts in the event of a major emergency evacuation.
Related Recommendations (1)
R9
County, city, and other local agency employees are designated by law as disaster services workers, and may be assigned to such efforts, including evacuation and care of the special needs populations, in the event of a major emergency evacuation. Those who are able and competent to do so should be identified, organized and trained in advance of a major emergency.
F10
The county has not engaged in a comprehensive public education program for the promotion of effective personal, household, and neighborhood plans for self-help and mutual assistance, with particular regard to persons with special needs, in the event of a major emergency evacuation. 38
Related Recommendations (1)
R10
The county should refocus its efforts on public awareness, education, and promotion of effective personal, household, and local community plans for self-help and mutual assistance that would include the designation of contact monitors for each person with special needs, in the event of a major emergency evacuation. Response Requirements Penal Code sections 933 and 933.05 require that specific responses to both the findings and recommendations contained in this report be submitted to the Presiding Judge of the Sacramento County Superior Court by October 1, 2006 from: • Sacramento County Executive, as to
Agency Responses 7
Government agencies' official responses to this report's findings and recommendations. Click on a response to see the structured breakdown.
▶
County of Sacramento
September 26, 2006
•
4 pages
View Details ▾
No structured response data extracted yet.
View the PDF for full details.
▶
Department of Health and Human Services
September 28, 2012
•
1 pages
• 1 response
View Details ▾
1 response to findings and recommendations
R1
The county must make the completion of the Flood Annex to its All- Hazards Emergency Operations Plan a matter of high priority.
Response: Unknown
Score: 0
Concur Child Protective Services will continue with the corrective measures already identified and implemented. Minors in need of protection who are brought to the Children's Receiving Home will be accepted into protective custody and placement coordination will be initiated immediately with the appropriate resource agencies. .
▶
Department of Health and Human Services
September 28, 2012
•
1 pages
• 1 response
View Details ▾
1 response to findings and recommendations
R1
The county must make the completion of the Flood Annex to its All- Hazards Emergency Operations Plan a matter of high priority.
Response: Unknown
Score: 0
Concur Child Protective Services will continue with the corrective measures already identified and implemented. Minors in need of protection who are brought to the Children's Receiving Home will be accepted into protective custody and placement coordination will be initiated immediately with the appropriate resource agencies. .
▶
Sacramento County Office of Emergency Operations
September 28, 2012
• 12 responses
•
Score: +10
(+10, 2, 0)
View Details ▾
12 responses to findings and recommendations
F1
The Flood Annex to the county’s All-Hazards Emergency Operations Plan is projected for completion by September 2006.
Response: Agree
Score: +1
The flood annex to the County's All Hazards Plan is projected for completion by September 2006. From: Sacramento County Office of Emergency Operations <b>County Executive's Office</b> For: <u>Response</u> Concur.
F2
The Sheriff’s Department has not fully developed standard operating procedures for a mass evacuation due to a flood disaster.
Response: Agree
Score: +1
The Sheriff's Department has not fully developed standard operating procedures for a mass evacuation due to a flood disaster. From: Sacramento County Office of Emergency Operations Sacramento County Sheriff's Department Sheriff Response The Sacramento County Sheriff's Department concurs with this finding. However, in partnership with the Emergency Operations Office, a funding augmentation will be made to the Sacramento County Board of Supervisors for the purpose of developing an All-Hazards Mass Evacuation Plan. If approved, it is proposed that a consultant will be hired to assist in the devel...
F3
While the county has established a Geographic Information System that maps the location of nursing homes, assisted living and congregate care facilities within the county, it lacks adequate means of identifying and locating most of the special needs populations in the event of a flood disaster.
Response: Agree
Score: +1
While the county has established a Geographic Information System that maps the location of nursing homes, assisted living and congregate care facilities within the county, it lacks adequate
Page 3 OF 12 means of identifying and locating most of the special needs populations in the event of a flood disaster. From: Sacramento County Office of Emergency Operations <b>County Executive's Office</b> For: From: Sacramento County Sheriff's Department <b>Department of Health and Human Services</b> Emergency Operations Response Concur. DHHS Response Concur. There are a large number of special needs pop...
F4
The “Privacy Rule” component of the Health Insurance Portability and Accountability Act of 1996 is deemed by many to constitute a barrier to the sharing of lists of client names, locations and telephone numbers to county or other emergency officials under any circumstances.
Response: Agree
Score: +1
The "Privacy Rule" component of the Health Insurance Portability and Accountability Act of 1996 is deemed by many to constitute a barrier to the sharing of lists of client names, locations and telephone numbers to county or other emergency officials under any circumstances. From: Sacramento County Office of Emergency Operations For: Sacramento County Sheriff's Department From: Department of Compliance For: <b>Department of Health and Human Services</b> Emergency Operations Response Concur with Department of Compliance response. Department of Compliance Response Concur.
F5
The county has not established a full partnership of private care facilities and agencies for the evacuation of special needs clients in the event of a flood disaster.
Response: Agree
Score: +1
The County has not established a full partnership of private care facilities and agencies for the evacuation of special needs clients in the event of a flood disaster. From: Sacramento County Office of Emergency Operations Sacramento County Sheriff's Department <b>Emergency Operations Response</b> Concur. Sheriff Response The Sacramento County Sheriff's Department concurs in principle with this finding. While there is no legal mandate for private care facilities to participate in this type of training, the Sacramento Regional Office of Homeland Security and the Sacramento Region Citizen Corps ...
F6
The county lacks adequate access to fully staffed emergency-ready specialized transportation vehicles, wheelchair and gurney capable, and fully supplied with oxygen, insulin and other essential medicines.
Response: Agree
Score: +1
The County lacks adequate access to fully staffed emergency-ready specialized transportation vehicles, wheelchair and gurney capable, and fully supplied with oxygen, insulin and other essential medicines. From: Sacramento County Office of Emergency Operations
Page 6 OF 12 For: Sacramento County Sheriff's Department Department of Health and Human Services Emergency Operations Response Do not concur. While we recognize that all the available specialized transportation vehicles in northern California may not be sufficient in a catastrophic flood event to transport of persons with special needs t...
F7
The county has not fully identified the local hospital surge capacity under various circumstances of a flood disaster, which could impede access to one or more of those facilities.
Response: Agree
Score: +1
The county has not fully identified the local hospital surge capacity under various circumstances of a flood disaster, which could impede access to one or more of those facilities. From: Sacramento County Office of Emergency Operations <b>Department of Health and Human Services</b> <b>Emergency Operations Response</b> Concur with DHHS response. DHHS Response Do not concur. The Public Health division, along with all area hospitals participated in a statewide survey of medical surge capacity in the Spring of 2006. The data was submitted to the California Department of Health Services for collati...
R7
The county should identify the local hospital surge capacity under various circumstances of a flood disaster, and provide for alternate care sites for special needs persons who might otherwise require hospitalization.
Response: Requires Analysis
Score: 0
Page 7 OF 12 The county should identify the local hospital surge capacity under various circumstances of a flood disaster, and provide for alternate care sites for special needs persons who might otherwise require hospitalization. <b>Emergency Operations Response</b> Concur with DHHS response. <b>DHHS Response</b> Do not concur. The responsibility for planning for alternate care sites outside of hospital has been ٠ unclear. In recent Pandemic Influenza grant guidance, Public Health has been tasked to plan in this area, at least to the extent of identification of potential sites. Actual impleme...
F8
While the county has provided for mass shelters for general population evacuees, these shelters would not have the ability to provide for special needs persons who are medically or mentally infirm due to age or disability.
Response: Agree
Score: +1
While the county has provided for mass shelters for general population evacuees, these shelters would not have the ability to provide for special needs persons who are medically or mentally infirm due to age or disability. From: Sacramento County Office of Emergency Operations <b>Department of Human Assistance</b> Department of Health and Human Services <b>Emergency Operations Response</b> Concur. <u>DHA Response</u> Concur with DHHS response. DHHS Response Concur.
F9
The county has not engaged in comprehensive pre-mobilization planning, training, or exercises for the participation of county, city and other local agency employees in mitigation and relief efforts in the event of a major emergency evacuation.
Response: Agree
Score: +1
The county has not engaged in comprehensive pre-mobilization planning, training, or exercises for the participation of county, city and other local agency employees in mitigation and relief efforts in the event of a major emergency evacuation. From: Sacramento County Office of Emergency Operations Sacramento Sheriff's Department For: From: Department of Health and Human Services Emergency Operations Response Concur. Planning, training and exercise efforts have concentrated on county employees with a response role during emergencies either in the field or in a department operations center or th...
R9
County, city, and other local agency employees are designated by law as disaster services workers, and may be assigned to such efforts, including evacuation and care of the special needs populations, in the event of a major emergency evacuation. Those who are able and competent to do so should be identified, organized and trained in advance of a major emergency.
Response: Implemented
Score: 0
County, city, and other local agency employees are designated by law as disaster services workers, and may be assigned to such efforts, including evacuation and care of the special needs populations, in the event of a major emergency evacuation. Those who are able and competent to do so should be identified, organized and trained in advance of a major emergency. <b>Emergency Operations Response</b> Concur with the need to train all county employees to a basic level of understanding of emergency response systems including NIMS and SEMS, and on personal disaster preparedness and their potential ...
F10
The county has not engaged in a comprehensive public education program for the promotion of effective personal, household, and neighborhood plans for self-help and mutual assistance, with particular regard to persons with special needs, in the event of a major emergency evacuation. 38
Response: Agree
Score: +1
The County has not engaged in a comprehensive public education program for the promotion of effective personal, household, and neighborhood plans for self-help and mutual assistance, with particular regard to persons with special needs, in the event of a major emergency evacuation. From: Sacramento County Office of Emergency Operations Sacramento Sheriff's Department For: From: Department of Health and Human Services <b>Emergency Operations Response</b> Concur. Public education has been a component of the Emergency Operations program since its inception in 1973. Due to limited resources, a com...
▶
Sacramento County Office of Emergency Operations
August 07, 2006
•
12 pages
• 12 responses
•
Score: +10
(+10, 2, 0)
View Details ▾
12 responses to findings and recommendations
F1
The Flood Annex to the county’s All-Hazards Emergency Operations Plan is projected for completion by September 2006.
Response: Agree
Score: +1
The flood annex to the County's All Hazards Plan is projected for completion by September 2006. From: Sacramento County Office of Emergency Operations <b>County Executive's Office</b> For: <u>Response</u> Concur.
F2
The Sheriff’s Department has not fully developed standard operating procedures for a mass evacuation due to a flood disaster.
Response: Agree
Score: +1
The Sheriff's Department has not fully developed standard operating procedures for a mass evacuation due to a flood disaster. From: Sacramento County Office of Emergency Operations Sacramento County Sheriff's Department Sheriff Response The Sacramento County Sheriff's Department concurs with this finding. However, in partnership with the Emergency Operations Office, a funding augmentation will be made to the Sacramento County Board of Supervisors for the purpose of developing an All-Hazards Mass Evacuation Plan. If approved, it is proposed that a consultant will be hired to assist in the devel...
F3
While the county has established a Geographic Information System that maps the location of nursing homes, assisted living and congregate care facilities within the county, it lacks adequate means of identifying and locating most of the special needs populations in the event of a flood disaster.
Response: Agree
Score: +1
While the county has established a Geographic Information System that maps the location of nursing homes, assisted living and congregate care facilities within the county, it lacks adequate
Page 3 OF 12 means of identifying and locating most of the special needs populations in the event of a flood disaster. From: Sacramento County Office of Emergency Operations <b>County Executive's Office</b> For: From: Sacramento County Sheriff's Department <b>Department of Health and Human Services</b> Emergency Operations Response Concur. DHHS Response Concur. There are a large number of special needs pop...
F4
The “Privacy Rule” component of the Health Insurance Portability and Accountability Act of 1996 is deemed by many to constitute a barrier to the sharing of lists of client names, locations and telephone numbers to county or other emergency officials under any circumstances.
Response: Agree
Score: +1
The "Privacy Rule" component of the Health Insurance Portability and Accountability Act of 1996 is deemed by many to constitute a barrier to the sharing of lists of client names, locations and telephone numbers to county or other emergency officials under any circumstances. From: Sacramento County Office of Emergency Operations For: Sacramento County Sheriff's Department From: Department of Compliance For: <b>Department of Health and Human Services</b> Emergency Operations Response Concur with Department of Compliance response. Department of Compliance Response Concur.
F5
The county has not established a full partnership of private care facilities and agencies for the evacuation of special needs clients in the event of a flood disaster.
Response: Agree
Score: +1
The County has not established a full partnership of private care facilities and agencies for the evacuation of special needs clients in the event of a flood disaster. From: Sacramento County Office of Emergency Operations Sacramento County Sheriff's Department <b>Emergency Operations Response</b> Concur. Sheriff Response The Sacramento County Sheriff's Department concurs in principle with this finding. While there is no legal mandate for private care facilities to participate in this type of training, the Sacramento Regional Office of Homeland Security and the Sacramento Region Citizen Corps ...
F6
The county lacks adequate access to fully staffed emergency-ready specialized transportation vehicles, wheelchair and gurney capable, and fully supplied with oxygen, insulin and other essential medicines.
Response: Agree
Score: +1
The County lacks adequate access to fully staffed emergency-ready specialized transportation vehicles, wheelchair and gurney capable, and fully supplied with oxygen, insulin and other essential medicines. From: Sacramento County Office of Emergency Operations
Page 6 OF 12 For: Sacramento County Sheriff's Department Department of Health and Human Services Emergency Operations Response Do not concur. While we recognize that all the available specialized transportation vehicles in northern California may not be sufficient in a catastrophic flood event to transport of persons with special needs t...
F7
The county has not fully identified the local hospital surge capacity under various circumstances of a flood disaster, which could impede access to one or more of those facilities.
Response: Agree
Score: +1
The county has not fully identified the local hospital surge capacity under various circumstances of a flood disaster, which could impede access to one or more of those facilities. From: Sacramento County Office of Emergency Operations <b>Department of Health and Human Services</b> <b>Emergency Operations Response</b> Concur with DHHS response. DHHS Response Do not concur. The Public Health division, along with all area hospitals participated in a statewide survey of medical surge capacity in the Spring of 2006. The data was submitted to the California Department of Health Services for collati...
R7
The county should identify the local hospital surge capacity under various circumstances of a flood disaster, and provide for alternate care sites for special needs persons who might otherwise require hospitalization.
Response: Requires Analysis
Score: 0
Page 7 OF 12 The county should identify the local hospital surge capacity under various circumstances of a flood disaster, and provide for alternate care sites for special needs persons who might otherwise require hospitalization. <b>Emergency Operations Response</b> Concur with DHHS response. <b>DHHS Response</b> Do not concur. The responsibility for planning for alternate care sites outside of hospital has been ٠ unclear. In recent Pandemic Influenza grant guidance, Public Health has been tasked to plan in this area, at least to the extent of identification of potential sites. Actual impleme...
F8
While the county has provided for mass shelters for general population evacuees, these shelters would not have the ability to provide for special needs persons who are medically or mentally infirm due to age or disability.
Response: Agree
Score: +1
While the county has provided for mass shelters for general population evacuees, these shelters would not have the ability to provide for special needs persons who are medically or mentally infirm due to age or disability. From: Sacramento County Office of Emergency Operations <b>Department of Human Assistance</b> Department of Health and Human Services <b>Emergency Operations Response</b> Concur. <u>DHA Response</u> Concur with DHHS response. DHHS Response Concur.
F9
The county has not engaged in comprehensive pre-mobilization planning, training, or exercises for the participation of county, city and other local agency employees in mitigation and relief efforts in the event of a major emergency evacuation.
Response: Agree
Score: +1
The county has not engaged in comprehensive pre-mobilization planning, training, or exercises for the participation of county, city and other local agency employees in mitigation and relief efforts in the event of a major emergency evacuation. From: Sacramento County Office of Emergency Operations Sacramento Sheriff's Department For: From: Department of Health and Human Services Emergency Operations Response Concur. Planning, training and exercise efforts have concentrated on county employees with a response role during emergencies either in the field or in a department operations center or th...
R9
County, city, and other local agency employees are designated by law as disaster services workers, and may be assigned to such efforts, including evacuation and care of the special needs populations, in the event of a major emergency evacuation. Those who are able and competent to do so should be identified, organized and trained in advance of a major emergency.
Response: Implemented
Score: 0
County, city, and other local agency employees are designated by law as disaster services workers, and may be assigned to such efforts, including evacuation and care of the special needs populations, in the event of a major emergency evacuation. Those who are able and competent to do so should be identified, organized and trained in advance of a major emergency. <b>Emergency Operations Response</b> Concur with the need to train all county employees to a basic level of understanding of emergency response systems including NIMS and SEMS, and on personal disaster preparedness and their potential ...
F10
The county has not engaged in a comprehensive public education program for the promotion of effective personal, household, and neighborhood plans for self-help and mutual assistance, with particular regard to persons with special needs, in the event of a major emergency evacuation. 38
Response: Agree
Score: +1
The County has not engaged in a comprehensive public education program for the promotion of effective personal, household, and neighborhood plans for self-help and mutual assistance, with particular regard to persons with special needs, in the event of a major emergency evacuation. From: Sacramento County Office of Emergency Operations Sacramento Sheriff's Department For: From: Department of Health and Human Services <b>Emergency Operations Response</b> Concur. Public education has been a component of the Emergency Operations program since its inception in 1973. Due to limited resources, a com...
▶
Sacramento County Sheriff's Department
August 02, 2006
•
3 pages
• 16 responses
•
Score: +4
(+4, 0, 0)
View Details ▾
16 responses to findings and recommendations
F1
The Flood Annex to the county’s All-Hazards Emergency Operations Plan is projected for completion by September 2006.
Response: Agree
Score: +1
Chronic understaffing of nurses has lead to an inability to consistently conduct nurse sick call Monday through Friday. This raises the likelihood that inmates who sign up for nurse sick call may not be seen for up to four days from the date of request to see a nurse. Since nurse sick call is the primary way for an inmate to be seen by a jail physician, this means that inmates who need to be seen by a physician have their care delayed, possibly leading to serious harm to the inmate. Response to finding Concur in principle. While Nurse Sick Call is the main vehicle for inmates to access health ...
F2
The Sheriff’s Department has not fully developed standard operating procedures for a mass evacuation due to a flood disaster.
Response: Agree
Score: +1
Quality assurance and the overall collection of data about healthcare in the jail are conducted on an informal basis. This means there is an inability to measure success or failure and an inability to quantify the goals of the health care system. It also means that there can be limited oversight of the system, since it is difficult to determine exactly what is occurring.
2005 -2006 Grand Jury Response August 2, 2006 Page 2 Response to finding Do not concur. There is a formal process by which statistical data is collected consistent with Title 15 requirements. Correctional Health Services has ...
F3
While the county has established a Geographic Information System that maps the location of nursing homes, assisted living and congregate care facilities within the county, it lacks adequate means of identifying and locating most of the special needs populations in the event of a flood disaster.
Response: Agree
Score: +1
Several incidents in the past year highlight the risks to nurses during nurse sick call when they are alone while examining an inmate. Response to finding Concur. Custody staffing levels are currently insufficient to provide one-to-one security each time nurse sick call is conducted.
F4
The “Privacy Rule” component of the Health Insurance Portability and Accountability Act of 1996 is deemed by many to constitute a barrier to the sharing of lists of client names, locations and telephone numbers to county or other emergency officials under any circumstances.
Response: Agree
Score: +1
The current system of dispensing medication is a manual system that increases the risk of incorrect medications being given, does not allow for the avoidance of medications being
2005 -2006 Grand Jury Response August 2, 2006 Page 3 given that might dangerously interact, and does not allow for inventory control. While the jail staff has indicated for several years that the system is going to be replaced, there have been difficulties with the process, and delays have occurred. However, the latest schedule indicates a new system will be in place, at least in the jail, by the middle of 2006. Resp...
F5
The county has not established a full partnership of private care facilities and agencies for the evacuation of special needs clients in the event of a flood disaster.
Response: Unknown
Score: 0
R5
The county should require training for managers and staff of private care facilities and agencies, along with formalized agreements specifying the roles and responsibilities of such facilities and agencies in the event of a flood.
Response: Unknown
Score: 0
F6
The county lacks adequate access to fully staffed emergency-ready specialized transportation vehicles, wheelchair and gurney capable, and fully supplied with oxygen, insulin and other essential medicines.
Response: Unknown
Score: 0
R6
The county should secure or contract for immediate access to a determined number of emergency ready, fully staffed and equipped specialized transportation vehicles, for the transportation of persons with special needs to appropriate shelters or in-kind facilities within the region.
Response: Unknown
Score: 0
F7
The county has not fully identified the local hospital surge capacity under various circumstances of a flood disaster, which could impede access to one or more of those facilities.
Response: Unknown
Score: 0
R7
The county should identify the local hospital surge capacity under various circumstances of a flood disaster, and provide for alternate care sites for special needs persons who might otherwise require hospitalization.
Response: Unknown
Score: 0
F8
While the county has provided for mass shelters for general population evacuees, these shelters would not have the ability to provide for special needs persons who are medically or mentally infirm due to age or disability.
Response: Unknown
Score: 0
R8
The county should provide, reserve, staff, and equip one or more shelters for the special needs of the medically or mentally infirm due to age or disability.
Response: Unknown
Score: 0
F9
The county has not engaged in comprehensive pre-mobilization planning, training, or exercises for the participation of county, city and other local agency employees in mitigation and relief efforts in the event of a major emergency evacuation.
Response: Unknown
Score: 0
R9
County, city, and other local agency employees are designated by law as disaster services workers, and may be assigned to such efforts, including evacuation and care of the special needs populations, in the event of a major emergency evacuation. Those who are able and competent to do so should be identified, organized and trained in advance of a major emergency.
Response: Unknown
Score: 0
F10
The county has not engaged in a comprehensive public education program for the promotion of effective personal, household, and neighborhood plans for self-help and mutual assistance, with particular regard to persons with special needs, in the event of a major emergency evacuation. 38
Response: Unknown
Score: 0
R10
The county should refocus its efforts on public awareness, education, and promotion of effective personal, household, and local community plans for self-help and mutual assistance that would include the designation of contact monitors for each person with special needs, in the event of a major emergency evacuation. Response Requirements Penal Code sections 933 and 933.05 require that specific responses to both the findings and recommendations contained in this report be submitted to the Presidin...
Response: Unknown
Score: 0
▶
Sacramento County Sheriff's Department
August 02, 2006
•
3 pages
• 4 responses
•
Score: +4
(+4, 0, 0)
View Details ▾
4 responses to findings and recommendations
F1
The Flood Annex to the county’s All-Hazards Emergency Operations Plan is projected for completion by September 2006.
Response: Agree
Score: +1
Chronic understaffing of nurses has lead to an inability to consistently conduct nurse sick call Monday through Friday. This raises the likelihood that inmates who sign up for nurse sick call may not be seen for up to four days from the date of request to see a nurse. Since nurse sick call is the primary way for an inmate to be seen by a jail physician, this means that inmates who need to be seen by a physician have their care delayed, possibly leading to serious harm to the inmate. Response to finding Concur in principle. While Nurse Sick Call is the main vehicle for inmates to access health ...
F2
The Sheriff’s Department has not fully developed standard operating procedures for a mass evacuation due to a flood disaster.
Response: Agree
Score: +1
Quality assurance and the overall collection of data about healthcare in the jail are conducted on an informal basis. This means there is an inability to measure success or failure and an inability to quantify the goals of the health care system. It also means that there can be limited oversight of the system, since it is difficult to determine exactly what is occurring.
2005 -2006 Grand Jury Response August 2, 2006 Page 2 Response to finding Do not concur. There is a formal process by which statistical data is collected consistent with Title 15 requirements. Correctional Health Services has ...
F3
While the county has established a Geographic Information System that maps the location of nursing homes, assisted living and congregate care facilities within the county, it lacks adequate means of identifying and locating most of the special needs populations in the event of a flood disaster.
Response: Agree
Score: +1
Several incidents in the past year highlight the risks to nurses during nurse sick call when they are alone while examining an inmate. Response to finding Concur. Custody staffing levels are currently insufficient to provide one-to-one security each time nurse sick call is conducted.
F4
The “Privacy Rule” component of the Health Insurance Portability and Accountability Act of 1996 is deemed by many to constitute a barrier to the sharing of lists of client names, locations and telephone numbers to county or other emergency officials under any circumstances.
Response: Agree
Score: +1
The current system of dispensing medication is a manual system that increases the risk of incorrect medications being given, does not allow for the avoidance of medications being
2005 -2006 Grand Jury Response August 2, 2006 Page 3 given that might dangerously interact, and does not allow for inventory control. While the jail staff has indicated for several years that the system is going to be replaced, there have been difficulties with the process, and delays have occurred. However, the latest schedule indicates a new system will be in place, at least in the jail, by the middle of 2006. Resp...