Submittal to the Board of Supervisors County of Riverside, State of California Submittal Date: July 30, 2002 From:*

agreement with the Contractor, that left many construction issues incomplete, or not completed properly. Some were included in the "Post Occupancy Projects" fund established by the Board of Supervisors in December 1999 (balance as of March 31, 2002 was $3,185,205). The following projects were included and remain uncompleted: emergency generator ventilation and exhaust modification a ADA compliance – elevator access upgrades

The above projects and others are identified as concerns in 2001 reports prepared by the National Institute for Occupational Safety and Health, County Department of Facilities Management, and ISES Corporation, a facilities focused engineering and management company. The ISES report concluded, "The Hospital maintenance staff ١ Response to Grand Jury Report needs to move beyond the theory that original construction defects are thwarting maintenance efforts and take ownership of the problems." X Respondent agrees with the finding. ---- The Office of Statewide Health and Planning Development (OSHPOD) governs all

construction, changes, or improvements to all hospitals in the state. The approval process is detailed and time consuming. Healthcare industry standards demand that hospital management is expected to understand, schedule, and complete the OSHPOD process in a timely manner. X Respondent agrees with the finding. There is an ongoing tendency among RCRMC management and plant operations staff to

attribute "Post Occupancy Project" delays, and many other maintenance related problems to: the turmoil surrounding the end of RCRMC construction O. the subsequent lack of communication and coordination with the Department of Facilities Management Х Respondent disagrees partially with the finding. ---- The lack of training on the part of Plant Operations individuals, coupled with the "Can't Do" attitude, has created the environment which has not been conducive to productivity in this department. With a proposed reorganization and change of personnel, and the execution of an MOU with Facilities Management, recovery from this problem is anticipated.

The long delays in completing "Post Occupancy Projects" and other priority projects are due, in part, to the lack of policies and procedures delineating responsibilities and coordination requirements between RCRMC and other appropriate agencies. X Respondent disagrees partially with the finding. ---- The policies and procedures have been in place but not utilized. Under a planned reorganization and the MOU between RCRMC and Facilities Management, we anticipate this problem to be corrected.

During the past year, efforts to coordinate draft Memorandums of Understanding (MOU) concerning maintenance projects and procedures between the Department of Facilities Management and RCRMC, have failed to produce a mutually agreed upon policy. X Respondent disagrees wholly with the finding. Response to Grand Jury Report RCRMC and Facilities Management have been working on the MOU

RCRMC enjoys a fine reputation within the community for delivering quality healthcare to the population of Riverside County. X Respondent agrees with the finding.