The Guardian of Last Resort Summary business, which is mandated by law Method of Investigation to attend to the details

Additional Recommendations 3

These recommendations are not explicitly linked to specific findings.

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  The County Internal Audit Guardian. Based on the results from the Board of Supervisors and Department should conduct of this review and the Grand requested from the County Execu- an in-depth review of OCHR Jury report, they should recon- tive Office and the Orange County personnel records to determine sider whether separating the Health Care Agency. if additional instances of ques- PA/PG from the Health Care tionable pension practices exist Required Responses Agency and turning it into a in agencies other than the PA/ separate stand-alone County The California Penal Code PG office. The audit report and department has been cost and specifies the required permis- any resulting County responses performance improvement sible responses to the findings and will be forwarded to the Grand effective. If not, the Board recommendations contained in the Jury for information. of Supervisors should return report. The specific sections are Public Guardian to the HCA or
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  When the term of the cur- developed. Appropriate train- (b) of Section 933, as to each rent PA expires in two years, ing based on these documents grand jury finding, the respond- the Board of Supervisors should be given and that action ing person or entity shall indi- should consider moving the documented. cate one of the following: Public Administrator function (1) The respondent agrees into the same department that
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  During the inventory all sends a memo to personal prop- 3. Property Services Staff will items listed on the inventory erty Services advising whether count and list the number of sheet are tagged or labeled with to ship, destroy or release to a unopened and opened syringes the identifying number on the specified agent. on the inventory sheet in the Property Inventory Sheet and 6. A deputy assigned to a Public presence of the witness. The the identifying code letters. The Guardian case will not release estimated value will be NV- importance of accurate tagging Personal Paper to heirs or No Value. Unopened syringes can not be over emphasized as other family members during are left in their packages and they are used to trace the chain the lifetime of the case, unless placed in a standard inven- of custody from the decedent/ written and informed consent is tory box. Opened syringes are conservatee’s residence to the obtained from the conservatee placed in a sharps container. If warehouse and ultimately to and only if there is no will de- the sharps container becomes buyers and heirs. tailing disposition of personal full, a plastic soda bottle or Policy and Procedure 4.6 property. similar appropriate container MAINTAINING WAREHOUSE Policy and Procedure 4.10 will be used to temporarily store the sharps. Sharps will be AND IMPOUND SECURITY ACCESS/USE OF PA/PG PA- removed form the temporary PRACTICE PERS ROOM, BUILDING “B” container and put in a designat- To establish a uniform proce- (Remember this Policy has ed sharps container upon return dure for access and security been deleted according to the note to the warehouse. of the PA/PG warehouse and attached to it directing the reader Policy and Procedure No.8.9 impound area. to 4.6) PA papers are to the right, PG PUBLIC GUARDIAN AUTHOR- Policy and Procedure No. 4.8 papers are to the left. Unsorted ITY IN INTRUSIVE MEDICAL DISPOSITION OF PERSONAL papers are on the racks labeled PROCEDURE PAPERS “unsorted PA papers”. Empty PURPOSE: PROCEDURE: boxes for sorting into are To establish a uniform policy