13 responses to findings and recommendations
F2
The JCFHD Board of Directors withheld information between themselves leading to individual discontent and poor decision making.
Response: Disagree
Score: -1
The JCFHD Board disagrees with this finding in that JCFHD Board members withheld information from each other only to the extent necessary in order to comply with the Brown Act. The JFCHD Board has been diligent in seeking out and obtaining training in the Brown Act and takes our responsibility to comply with the Brown Act very seriously. F3. The JCFHD Board of Directors did not have an opportunity to vet interim CEO which led to a longer period until issues could be legally responded to and resolved. Response: We agree with this finding. This Board inherited an Interim CEO, whose vetting proce...
R2
JCFHD Board should be more diligent in financial review of the Healthcare District.
Response: Unknown
Scheduled: within 6 months
Score: 0
The board agrees and the treasurer was involved in vetting financial consulting firms to select Warbird Consulting Partners to verify bank accounts, payroll, financial statements, etc. The consulting firm will make regular reports to the board during its nine-month contract. R3. JCFHD should review existing vetting procedures for hiring C-suite level management within 6 months. Response: The JCFHD Board will task the Human Resources Department with review of all policies for hiring ofC-suite personnel and will work with legal counsel, as needed, to implement best practices. The JFCHD Board wil...
F3
The JCFHD Board of Directors did not have an opportunity to vet interim CEO which led to a longer period until issues could be legally responded to and resolved.
Response: Agree
Score: +1
We agree with this finding. This Board inherited an Interim CEO, whose vetting process was done through the previous Board and this current Board was not privy to the process. The last permanent CEO this current Board hired was vetted through an outside agency. F4. JCFHD Human Resources did not properly vet executive level positions leading to instability at C-suite level. Response: We agree with this finding. The previous Human Resources Personnel did not share vetting with the Board. F5. Multiple CEOs exceeded contractual spending limits without JCFHD Board notification eroding inherent chec...
R3
JCFHD should review existing vetting procedures for hiring C-suite level management
Response: Unknown
Due: Within 6 months
Scheduled: within 9 months
Score: 0
The JCFHD Board will task the Human Resources Department with review of all policies for hiring ofC-suite personnel and will work with legal counsel, as needed, to implement best practices. The JFCHD Board will require that Human Resources report to the JCFHD Board its progress on this matter to ensure completion within the Grand .Jury's 6 month time frame. R4. JCFHD Board of Directors should ensure adherence to existing vetting procedures for hiring C-suite level management. Response: While the JCFHD Board is only responsible for engaging the CEO of the District and no other C-suite level man...
F4
JCFHD Human Resources did not properly vet executive level positions leading to instability at C-suite level.
Response: Agree
Score: +1
We agree with this finding. The previous Human Resources Personnel did not share vetting with the Board. F5. Multiple CEOs exceeded contractual spending limits without JCFHD Board notification eroding inherent checks and balances in organizational structure and straining the hospital financially. Response: We agree with this.finding. The current Board took swift action to remove these CEOs. F6. The JCFHD found themselves behind in regular financial audits jeopardizing funding from governmental agencies. Response: We agree with this finding. This current Board only had two accounting issues tha...
R4
JCFHD Board of Directors should ensure adherence to existing vetting procedures for hiring C-suite level management.
Response: Unknown
Scheduled: within 9 months
Score: 0
While the JCFHD Board is only responsible for engaging the CEO of the District and no other C-suite level management, the JCFHD Board will endeavor to adhere to vetting procedure when they hire the CEO and require staff (Human Resources) to adhere to such vetting procedures when other C-site level management is hired. RS. Immediately, JCFHD should make it a priority to work together and function cohesively as a team Response: JCFHD Board agrees with this recommendation and will make this a priority. R6. Immediately, JCFHD Board of Directors should ensure procedures for financial oversight of C...
F5
Multiple CEOs exceeded contractual spending limits without JCFHD Board notification eroding inherent checks and balances in organizational structure and straining the hospital financially.
Response: Agree
Score: +1
We agree with this.finding. The current Board took swift action to remove these CEOs. F6. The JCFHD found themselves behind in regular financial audits jeopardizing funding from governmental agencies. Response: We agree with this finding. This current Board only had two accounting issues that were inherited. Our audits were not completed in a timely manner, by an administration that was replaced two years ago and the audits were completed last fall. Our second problem was having a.few ofo ur monthly financials not completed on time. This was rectified in a.few months when a previous CEO left. ...
F6
The JCFHD found themselves behind in regular financial audits jeopardizing funding from governmental agencies.
Response: Agree
Score: +1
We agree with this finding. This current Board only had two accounting issues that were inherited. Our audits were not completed in a timely manner, by an administration that was replaced two years ago and the audits were completed last fall. Our second problem was having a.few ofo ur monthly financials not completed on time. This was rectified in a.few months when a previous CEO left. The problems were never due to "difficulties navigating the Brown Act, a lack ofc ooperation and the accountability between Board members, or inaccessible information" F7. Work and dialogue outside of regular, s...
R6
Immediately, JCFHD Board of Directors should ensure procedures for financial oversight of CEO are being followed at all times.
Response: Unknown
Scheduled: within 9 months
Score: 0
JCFHD Board agrees with this recommendation and have made this a priority.
R 7. JCFHD Board of Directors should review the organizational structure of the Healthcare District, specifically related to financial responsibilities of the CEO, COO and CFO with the intention of creating more financial oversight within their purview, within 9 months. Response: JFCHD Board agrees with this recommendation and will ensure that this task is completed within the Grand Jwy 's 9 month time .fi"ame. R8. Immediately, JCFHD Board of Directors should review and establish mechanisms to guarantee timely producti...
F7
Work and dialogue outside of regular, special, and emergency meetings between directors of the JCFHD puts the Board at risk of violating Brown Act practices.
Response: Agree
Score: +1
While the JCFHD Board agrees that such conduct risks a violation oft he Brown Act, the JFCHD Board disagrees with a finding that it has engaged in such conduct in that it believes it has been diligent in minimizing any work or dialogue outside of noticed meetings. The JCFHD Board takes its responsibilities under the Brown Act seriously. The
JCFHD Board agrees to continue to monitor its conduct to ensure no inadvertent violation oft he Brown Act occurs and to continue to receive such training on a regular basis. RECOMMENDATIONS UNDER THE SECTION TITLED: JOHN C FREMONT HEAL TH CARE DISTRICT INV...
R7
JCFHD Board of Directors should review the organizational structure of the Healthcare District, specifically related to financial responsibilities of the CEO, COO and CFO with the intention of creating more financial oversight within their purview,
Response: Unknown
Score: 0
JFCHD Board agrees with this recommendation and will ensure that this task is completed within the Grand Jwy 's 9 month time .fi"ame. R8. Immediately, JCFHD Board of Directors should review and establish mechanisms to guarantee timely production of accurate audits. Response: JCFHD Board agrees with this recommendation and have made this a priority. R9. Immediately, the JCFHD Board of Directors should continue with the reimplementation of the JCFHD compliance hotline. Response: JCFHD Board agrees with this recommendation and is currently working on this high priority item, R 10. JCFHD Board of ...
R8
Immediately, JCFHD Board of Directors should review and establish mechanisms to guarantee timely production of accurate audits.
Response: Unknown
Score: 0
JCFHD Board agrees with this recommendation and have made this a priority. R9. Immediately, the JCFHD Board of Directors should continue with the reimplementation of the JCFHD compliance hotline. Response: JCFHD Board agrees with this recommendation and is currently working on this high priority item, R 10. JCFHD Board of Directors should practice due diligence with the Board Clerk to make certain all meeting minutes are recorded and kept as required by law. Response: JCFHD Board agrees with this recommendation and has always made this a priority and will continue to so. FINDINGS UNDER THE SEC...
R9
Immediately, the JCFHD Board of Directors should continue with the reimplementation of the JCFHD compliance hotline. RIO JCFHD Board of Directors should practice due diligence with the Board Clerk to make certain all meeting minutes are recorded and kept as required by law. The following governing boards are required to respond pursuant to Penal Code sections §933 and §933.05: JCFHD Board of Directors: Fl, F2, F3, F4, F5, F6, F7, RI, R2, R3, R4, R5, R6, R7, R8, R9, RIO Per Penal Code §933.05(a)(...
Response: Unknown
Score: 0
JCFHD Board agrees with this recommendation and is currently working on this high priority item, R 10. JCFHD Board of Directors should practice due diligence with the Board Clerk to make certain all meeting minutes are recorded and kept as required by law. Response: JCFHD Board agrees with this recommendation and has always made this a priority and will continue to so. FINDINGS UNDER THE SECTION TITLED: PARALLELS BETWEEN COUNTY GOVERNMENT AND JCFHD Fl. JCFHD and Mariposa County do not have their own clearly defined whistleblower policies making it difficult for staff to report issues of non-co...
