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Findings and Recommendations 7 findings
F1
Telehealth Confidentiality and Privacy requirements are not met in the Rio Vista Program site where the WIC program shares a room with another Rio Vista agency. WPPM 2024 Section 220-30 states: “Set up an appropriate workspace where staff can conduct telehealth services without confidential participant information being overheard or seen by others.” WIC personnel must work in a secure room where conversations are not overheard.
Related Recommendations (1)
R1
Set up an appropriate workspace in Rio Vista so that the staff can conduct telehealth and in person services where confidential participant information is not being overheard or seen by others.
F2
At the Rio Vista Program site, there is no private room where employees or participants can breastfeed. Per the Policy and Procedure Manual WPPM 2024 section 600-30, IV Employee Support, “a room with a door is necessary for facilities to have for breastfeeding mothers and staff.”
Related Recommendations (1)
R2
Provide a room at the Rio Vista site with a door which can be locked to enable privacy for breastfeeding mothers.
F3
The Rio Vista program site does not have Hours of Operation displayed. Per Policy and Procedure Manual WPPM 2024 section 530-10, signage is required at the entrance to the facility.
Related Recommendations (1)
R3
Display Hours of Operation at the entrance to the site in Rio Vista.
F4
Fairfield and Rio Vista program sites do not have the poster “WIC doesn’t routinely provide formula for the first 30 days after delivery” sign posted. Per SCWPPM WIC Policy Number 2-8 Breastfeeding Promotion and Support in WIC, signage is required.
Related Recommendations (1)
R4
Install required signs at the Fairfield and Rio Vista sites.
F5
Rio Vista, Dixon, and Vallejo program sites do not have “No Smoking” signs at the entrances to their facilities. Per Policy and Procedure Manual WPPM 2024 section 160-10, “WIC sites and administrative offices must prominently display "No Smoking" signs during WIC operating hours in any area occupied by the WIC program.”
Related Recommendations (1)
R5
Install “No Smoking” signs at the entrance to Rio Vista, Dixon, and Vallejo sites.
F6
Dixon, Vallejo, and Rio Vista sites do not have a “CA WIC BreastFeeding Vision Statement” sign posted. Per Policy and Procedure Manual WPPM 2024 section 600-30, “the site must include a display of the WIC Program’s Breastfeeding Vision Statement in areas visible to employees and participants.”
Related Recommendations (1)
R6
Include a display of the WIC Program’s Breastfeeding Vision Statement in areas visible to employees and participants at the Dixon, Vallejo and Rio Vista sites.
F7
Vallejo has a display marketing Similac™ formula in the waiting room of the facility. Per Policy and Procedure Manual WPPM 2024 section 600-30, “Refrain from displaying or providing magazines, books, educational materials, or incentive items that promote or market formula to participants.”
Related Recommendations (1)
R7
Remove the Similac™ display in the Vallejo waiting room. V. COMMENTS Overall, the WIC programs in Solano County are well managed. The public areas are clean, colorful and welcoming to all who visit there. The staff was friendly and willing to show us around and answer our questions. Several of the positive aspects we found were translation services, respect for different cultures, and a well-organized and educated staff. The directors of each site hold Masters’ degrees as well as many other certifications. The County WIC director is also highly educated and was very helpful in getting us the information that we needed and providing access to each site. The process to fill a staff vacancy seems excessively long. The Health Assistant in Dixon retired in December 2024 and has yet to be replaced at this time (May 2025). The interviews are happening but they have not found a suitable candidate. In the past, the clinic was open Tuesday-Thursday with remote availability Monday and Friday. Today the site is open for a limited time period (eight hours a week) with remote availability the other days of the week. The staff from Vacaville covers for the missing Dixon staff. VI. RESPONSES REQUIRED Health Services Manager/Nutrition Services Bureau Solano County Health and Social Services, Public Health Division Findings 1-7 COURTESY COPY HSS DIRECTOR Solano County Health and Social Services, Public Health Division Findings 1-7 VII. METHODOLOGY A. Websites: 1. California Department of Public Health/WIC/How WIC Helps https://myfamily.wic.ca.gov/Home/HowWICHelps 2. Solano County Public Health/Nutrition Services Program/WIC Program https://www.solanocounty.com/depts/ph/nsp/wic/default.asp B. Documents: 1. Women, Infants and Children Program California Department of Health WIC California Policy and Procedures Manual 2024. 2. Solano County Public Health Division WIC Program Policy and Procedure: Breastfeeding Promotion and Support in WIC. Policy Number 2-8 3. Solano County Public Health Division WIC Program Policy and Procedure: Nutrition Education Contacts. Policy Number 2-7 4. Solano County Public Health Division WIC Program Policy and Procedure: Security, Inventory and Distribution of WIC Cards at the WIC clinics. Policy Number 2-1. 5. Solano County Public Health Division WIC Program Policy and Procedure: Scale Validation and Calibration. Policy Number 1-4. 6. Solano County Public Health Division WIC Program Policy and Procedure: Assessment of Need and Distribution of Manual/Electric Breast pumps. Policy Number 2-9. 7. Solano County Public Health Division WIC Program Policy and Procedure: Lactation Accommodation for WIC Employees. Policy Number 2-12. 8. Solano County Public Health Division WIC Program Policy and Procedure: WIC Online Education. Policy Number 2-23. 9. Solano County Public Health Division WIC Program Policy and Procedure: WIC Caseload Management /Outreach Activities. Policy Number 2-16. 10. State of California-Health and Human Services Agency. California Department of Public Health. Notice of Temporary Regulatory Changes. September 30, 2020. 11. Health and Human Services Agency. California Department of Public Health. WIC Information Notice No. 2024-83. C. Interviews: 1. Solano County Public Health Department Administrative Staff 2. Administration of each WIC Program Site (5) D. Program Site Tours: Program Site Date Dixon December 2024 Fairfield December 2024 Rio Vista February 2025 Vacaville January 2025 Vallejo January 2025 VALLEJO WAITING ROOM FORMULA BROCHURES
Additional Recommendations 4
These recommendations are not explicitly linked to specific findings.
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R8Solano County Public Health Division WIC Program Policy and Procedure: WIC Online Education. Policy Number 2-23.
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R9Solano County Public Health Division WIC Program Policy and Procedure: WIC Caseload Management /Outreach Activities. Policy Number 2-16.
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R10State of California-Health and Human Services Agency. California Department of Public Health. Notice of Temporary Regulatory Changes. September 30, 2020.
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R11Health and Human Services Agency. California Department of Public Health. WIC Information Notice No. 2024-83. C. Interviews:
Comments 1
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CO1Overall, the WIC programs in Solano County are well managed. The public areas are clean, colorful and welcoming to all who visit there. The staff was friendly and willing to show us around and answer our questions. Several of the positive aspects we found were translation services, respect for different cultures, and a well-organized and educated staff. The directors of each site hold Masters' degrees as well as many other certifications. The County WIC director is also highly educated and was very helpful in getting us the information that we needed and providing access to each site. JUDGE 250602 Solano County WIC The process to fill a staff vacancy seems excessively long. The Health Assistant in Dixon retired in December 2024 and has yet to be replaced at this time (May 2025). The interviews are happening but they have not found a suitable candidate. In the past, the clinic was open Tuesday-Thursday with remote availability Monday and Friday. Today the site is open for a limited time period (eight hours a week) with remote availability the other days of the week. The staff from Vacaville covers for the missing Dixon staff. VI.