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Extraído del Informe Consolidado

Esta investigación fue publicada originalmente como parte de un informe consolidado más amplio que contiene múltiples investigaciones. Consulte el PDF consolidado para ver el documento completo.

Santa Cruz County Grand Jury • 2004-2005

5. The independent audit firm provides various reports to the Santa Cruz County Audit Committee throughout the year

Published: June 24, 2005 167 pages Consolidated Report
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Findings 54 findings

F1
It has been the practice of the county to request proposals for independent audit services every three or four years.
F2
The current independent audit firm has provided services for seven years.
F3
The 2001-2002 Santa Cruz County Grand Jury Final Report recommended that retention of an independent auditor should be reviewed every three years and changed at least every six years.
F4
This Request for Proposal process was to select an independent auditor to prepare an annual audit for the County of Santa Cruz beginning with the fiscal year ending June 30, 2005. The contract would be awarded for one to three years, whichever would be the most cost effective for the county. - 2 Counting Your Dollars: Contracting for the Services of an Independent Auditor of County Finances 2004 – 2005 Santa Cruz County Grand Jury Report
F5
The independent audit firm provides various reports to the Santa Cruz County Audit Committee throughout the year. These reports require County Audit Committee review.
F6
The Request for Proposal process began with preparation of the bid documents that: • outlined the requirements of the county; • described the basis on which the bids would be judged; and • requested the qualifications of the bidders. Invitations to Bid were sent to 44 qualifying accounting firms, locally and throughout northern and central California. Four bidders attended the bidders’ conference on December 10, 2004. Proposals were received on January 14, 2005 from all four firms present at the bidders’ conference. The proposals were evaluated according to the criteria established in the bid documents as outlined in Appendix A. Using this comprehensive criteria, the County Audit Committee recommended awarding the contract to the firm that best met the county’s needs: Bartig, Basler, and Ray.
F7
Two members of the Santa Cruz County Grand Jury are active members of the County Audit Committee. Conclusions
F8
Rountree inmates can benefit from a variety of programs and educational opportunities.
F9
The grievance procedures are due for a review and possible update.
F10
The staff at Rountree performs its duties in a professional manner.
F11
Closing the medical facility resulted in otherwise eligible inmates being housed in the Main Jail facility because of prescription drug needs.
F12
The Blaine Street Jail buildings and grounds are attractive and well maintained.
F13
The facility is well staffed, and staff appears to be attuned to the needs of the inmates.
F14
There is a variety of useful activities available to the inmates.
F15
Juvenile Hall is well managed with a caring and diverse staff.
F16
The Juvenile Hall buildings and grounds are well maintained. - 12 Santa Cruz County Jails Review
F17
Construction of a closed gymnasium would allow for adequate physical activity during poor weather.
F18
The Home Electronic Monitoring program reduces the Juvenile Hall population.
F19
For security and safety reasons, electronic doors need to be installed throughout the facility.
F20
The heating and ventilation system in Juvenile Hall is inadequate.
F21
The California Youth Authority Camp facility was well managed by a professional and well-trained staff.
F22
The California Youth Authority Fire Camp provided a community service to Santa Cruz County.
F23
The support provided to the CDF by the CYA wards was a beneficial service to our community.
F24
The wards once housed there have lost an enriching opportunity to learn an employment skill, which might have kept them from returning to a life of crime.
F25
Services available to Medi-Cruz recipients are: • primary health care in clinics; • X-rays; • pharmaceuticals; • emergency care; and • hospital (in-patient) care.
F26
Medi-Cruz does not cover jailed inmates. The medical costs for incarcerated patients come from the Detention Jail budget. Even if they are active Medi-Cruz patients, services cease after they are booked according to HSA personnel.
F27
According to Dominican Hospital personnel, there is a staff member at Dominican Hospital to assist people to sign up for Medi-Cruz and Medi-Cal. This position is not staffed 24 hours a day. Shades of Gray: - 7 Dominican Santa Cruz Hospital/Jail Medical Facility 2004-2005 Santa Cruz County Grand Jury Final Report
F28
Patients determined eligible for Medi-Cruz services can have treatment paid for retroactively. However, it is up to the client to cooperate and follow through with the paperwork for this to be accomplished.
F29
The medical budget for detention facilities is $3 million. The three largest components of the detention medical budget are: • nursing/medical care (salaries) within the jail; • services delivered at the county health clinics (X-rays, pharmacy and laboratory are the largest intra-agency cost); and • outside medical care (Doctors On Duty or dental care).
F30
CHIP funds may not be used to support health services provided to persons detained in a county or city jail or other correctional facility (W&I Code Section 16995).8
F31
HSA personnel believed that claims for indigent detainees might be partially covered by CHIP money. The amount of funding the county receives from CHIP doesn’t allow for 100 percent reimbursement of all of those claims. The total 2004-2005 CHIP allocation for Santa Cruz County is $77,214.
F32
According to HSA personnel, there is disagreement over who is financially responsible for blood draws and Breathalyzer tests done on detainees to determine drug and alcohol levels. The law is not specific, and it is an area of contention.
F33
The jail does not do Breathalyzer tests or blood draws on arrested subjects. Law enforcement officers perform Breathalyzer tests. The hospital does not have Breathalyzer equipment. Nurses at the Main Jail do not take blood alcohol levels. They cannot collect evidence.
F34
Hospital personnel must perform blood draws. As a result, this takes away from staff time to collect samples. Hospital staff is often called to testify in court regarding collection of such samples as evidence. Staff are not reimbursed for court appearances. Procedural Alternatives
F35
A Santa Cruz County elected official says that legislation should be changed. People who are eligible for state medical benefits should not lose those benefits when incarcerated.
F36
According to a Dominican Hospital medical staff member, patients could be better handled at the jail if there were an infirmary on site. Once they are cleared medically, they should be able to be monitored on site at the jail. Application for California Healthcare for Indigents Program Funding for Fiscal Year 2004-5, May 4,
F37
Detention Health Services intends to clarify in writing the criteria for transporting individuals to emergency departments for medical clearance prior to bringing them to jail. It appears that many people being brought to emergency departments could be brought to the jail directly by police officers. Training for police also appears necessary so that individuals are brought to the appropriate location.9
F38
Detention Medical staff is also evaluating current staffing patterns and hours to better serve this population in a cost-effective and clinically appropriate manner. Additional staffing may be required on Friday and Saturday nights for medical direction of these cases. This is a peak time for cases with alcohol and drug involvement. 10
F39
The Board of Corrections’ rated capacity is 42 inmates. As of May 4, 2005, the facility had 22 inmates.
F40
There have been six escapes (walkaways) in the past year.
F41
There have been no deaths in the past year.
F42
Fire drills are held monthly.
F43
There are 25 rooms, five of which do not house inmates. These are used for storage or office space. The inmates’ rooms house up to two inmates per room.
F44
Meals are prepared by inmates from menus provided by the county dietitian.
F45
There are two classrooms in the facility. Attendance at these classes is voluntary. The classes offered are: • GED (General Equivalency Degree); • job skills; • Pajaro Valley Substance Abuse Prevention and Student Assistance; • exit plans; • computers; • crocheting and knitting; • parenting skills; • communication skills; • women’s health; • Narcotics Anonymous; • Alcoholics Anonymous; and • Bible study, various church groups.
F46
Grievances are handled through a grievance form. An inmate can request this form from a staff member. If the grievance concerns a staff member, the grievance is handled with that staff member and the director. If the grievance concerns other areas, - 10 Santa Cruz County Jails Review it is discussed with the director. Grievances are usually handled upon receipt of the form.
F47
Each inmate is given a set behavior rules. If there is a violation of these rules, the following steps are taken: • a verbal warning is issued; • a written warning is issued; • privileges are lost; • extra work detail is assigned; • counseling is scheduled with the director; and • if there are too many infractions, the inmate is sent to the Main Jail.
F48
Both the interior and exterior of the building are clean and neatly maintained. The outside area is in a garden setting and used by inmates for activities such as reading and socializing and is also used for family visits.
F49
There is one officer on duty for all shifts, 24 hours a day. Conclusions
F50
Under the Serial Inebriate Program, inebriates who are arrested three times go to detoxification or jail. Serial Inebriate Program in San Diego County
F51
Started in January 2000, the Serial Inebriate Program is an innovative effort involving the City and County of San Diego, the San Diego Police and Sheriff's Departments, San Diego County Superior Courts, San Diego County Health and Human Services and Mental Health Systems, Inc. A number of agencies and treatment partners work in tandem with SIP. This collaborative effort provides a less expensive and more appropriate alternative to emergency departments and jails for treatment of homeless chronic inebriates. This program has had a dramatic effect on San Diego emergency - 10 Shades of Gray: Dominican Santa Cruz Hospital/Jail Medical Facility 2004-2005 Santa Cruz County Grand Jury Final Report departments.12 In San Diego, the first year of the program saw 144 people enter the program. A year later, 58 percent had had no contact with police since leaving treatment.
F52
The goals of the Serial Inebriate Program (SIP) are to: • slow or stop the revolving door cycle of chronic alcoholics going in and out of detoxification centers, county jail and emergency rooms; • divert this population off the street and into county-funded treatment programs; • significantly reduce the uncompensated costs, time constraints and manpower burdens to San Diego County's healthcare, law enforcement and judicial infrastructure caused by homeless, chronic alcoholics; and • give people who routinely live on the street an opportunity to create a stable mainstream lifestyle.
F53
The program strategy offers treatment in a joint City/County-funded program in lieu of custody time resulting from a guilty verdict for public intoxication. Once in treatment, clients are provided with wraparound services designed to help their recovery from alcoholism and begin moving them toward re-entering society as a sober community member. Conclusions
F54
At the Santa Cruz City-County Library System JPA Board meeting on May 2, 2005, a proposal was put forth to close the Felton branch to reduce the upcoming fiscal year 2005-06 budget shortfall of $173,000 by $156,355.39 The community strongly opposed the closing, and the JPA Board voted to keep the branch open. Conclusions Library Administration

Recommendations 63