9 responses to findings and recommendations
F2
withheld information between themselves leading to individual discontent and poor decision making. The JCFHD Board of Directors did not
Response: Disagree
Score: -1
F2. JCFHD and Mariposa County do not have clear procedures for establishing, managing and reviewing contracts with external consultants which often leads to contract delays, deliverables that do not meet original objectives and excessive financial costs. Response: We disagree with this finding. The JCFHD does have clear procedures for handling our contracts. RECOMMENDATIONS UNDER THE SECTION TITLED: PARALLELS BETWEEN COUNTY GOVERNMENT AND JCFHD RI. JCFHD and Mariposa County Board of Supervisors should each create unique procedures of staff to report issues of non-compliance. Response: The .ICF...
F3
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
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 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. Multiple CEOs exceeded contractual
Response: Agree
Score: +1
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
spending limits without JCFHD Board notification eroding inherent checks and balances in organizational structure and straining the hospital financially. The JCFHD found themselves behind in
Response: Agree
Score: +1
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
regular financial audits jeopardizing funding from governmental agencies.
Response: Agree
Score: +1
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. The problems were never due to "difficulties navigating the Brown Act, a lack ofc oope...
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: Disagree
Score: -1
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: 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 violat...
R7
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, Immediately, JCFHD Board of
Response: Unknown
Score: 0
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
Directors should review and establish mechanisms to guarantee timely production of accurate audits.
Response: Unknown
Score: 0
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. JCFHD Board of Directors should
Response: Unknown
Score: 0
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,
