Office of the Board of Supervisors*

Published: September 12, 2017 22 pages

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⚠️ Translation Notice: This content has been automatically translated. The original English text is the official version. Translation may contain errors.

⚠️ Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.

Findings and Recommendations 3 findings

F1 Page 3

The process of entering the main unit from the administrative office is inadequate and relies on a phone call to the nurses' station, where staff has no direct line of sight of the hallway in front of the office and who must rely on convex mirrors and a real-time video camera and television in order to assess the situation. The respondent disagrees with this finding. Per SYBH, inpatient staff does not rely on phone calls or a real-time camera and television to assess ingress and egress situations. PES and inpatient staff uses a mirror allowing them adequate view of the hallway.

Related Recommendations (1)

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None COMMENDATIONS C1. Farsighted thinking by the Sheriff has eliminated many complaints from the disabled. The Board of Supervisors agrees with this commendation and wishes to join the Grand Jury is commending him and his staff for their hard work and dedication to the safety of our communities and those individuals in the Yuba County Jail. SUPERVISORS Andy Vasquez - District 1 • Mike Leahy - District 2 • Doug Lofton - District 3 • Gary Bradford - District 4 • Randy Fletcher - District 5 The Board of Supervisors thanks the 2016-2017 Grand Jury for their dedication of time and commends each member for their valuable community service. Sincerely, Randy Fletcher, Chairman Yuba County Board of Supervisors SUPERVISORS Andy Vasquez - District 1 • Mike Leahy - District 2 • Doug Lofton - District 3 • Gary Bradford - District 4 • Randy Fletcher - District 5 CO The County of Yuba 915 8th Street, Ste. Marysville, California 95901 OFFICE OF THE BOARD OF SUPERVISORS (530) 749-7510 (530) 749-7353 FAX September 12, 2017 The Honorable Stephen Berrier Judge of the Superior Court Yuba County Courthouse 215 Fifth Street, Suite 200 Marysville, CA 95901 Re: RESPONSE TO 2016-2017 GRAND JURY - "SYBH Patient Absent Without Leave" Dear Judge Berrier, Provided pursuant to Penal Code Section 933(c) are the comments from the Board of Supervisors related to the

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SYBH policies and procedures regarding medical assessment of a returning patient were either not in place at the time of this incident or were not followed by the staff. The respondent disagrees with this finding. Consistent with policy SYBH In accordance with SYBH Policy and Procedure 21-009, nursing staff perform vital signs and a brief medical screening when a patient is admitted to the Psychiatric Health Facility (PHF). Nursing staff immediately began the process of completing vitals and arranging medical transportation to Rideout Regional Medical Center SUPERVISORS Andy Vasquez - District 1 • Mike Leahy - District 2 • Doug Lofton - District 3 • Gary Bradford - District 4 • Randy Fletcher - District 5 when the patient involved in the incident returned from AWOL status at 2245 hrs. on September 11, 2016. RECOMMENDATIONS

Related Recommendations (1)

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Any patient who leaves SYBH without permission must be taken to Rideout's Emergency Room for medical clearance prior to being returned to SYBH. Local law enforcement should be notified of this requirement, and SYBH policies should be amended to reflect this procedural change. The recommendation has been implemented per SYBH Policy and Procedure 14-016. The Board of Supervisors thanks the 2016-2017 Grand Jury for their dedication of time and commends each member for their valuable community service. Sincerely, Randy/Fletcher, Chairman Yuba County Board of Supervisors SUPERVISORS Andy Vasquez - District 1 • Mike Leahy - District 2 • Doug Lofton - District 3 • Gary Bradford - District 4 • Randy Fletcher - District 5 The County of Yuba 915 8th Street, Ste. Marysville, California 95901 OFFICE OF THE BOARD OF SUPERVISORS (530) 749-7510 (530) 749-7353 FAX September 12, 2017 The Honorable Stephen Berrier Judge of the Superior Court Yuba County Courthouse 215 Fifth Street, Suite 200 Marysville, CA 95901 Re: RESPONSE TO 2016-2017 GRAND JURY – "New Era for Tri-County Youth" Dear Judge Berrier, Provided pursuant to Penal Code Section 933(c) are the comments from the Board of Supervisors related to the

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The addition of a full-time nurse has been implemented. The Board of Supervisors agrees with this finding. RECOMMENDATIONS R1. Staff prepares an annual plan with monthly or bi-monthly field trips and the cost associated to conduct those trips along with a budget request to the County Board of Supervisors. SUPERVISORS Andy Vasquez - District 1 • Mike Leahy - District 2 • Doug Lofton - District 3 • Gary Bradford - District 4 • Randy Fletcher - District 5 The recommendation has been implemented. Discussions with department representatives and through review of annual expenditures, offsite activities are planned and paid for. Should the Superintendent determine the need for additional resources for an expanded program, the Board will consider those consistent with overall program delivery and outcomes. Should that recommendation be brought forward, the Superintendent is encouraged to also seek approval from the Tri-County Juvenile Rehabilitation Oversite Committee (TCJROC), consisting of representatives from all three counties.

Related Recommendations (1)

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Fees charged to contracting counties should be reviewed to ensure that sufficient revenue is collected to provide these off-site field trips to the youth who are housed from other counties. The recommendation has been implemented, in part. At the beginning of each budget process, fees charged to contracting counties are reviewed to ensure contract counties are paying appropriate costs. In April of 2017, the Tri County Oversight Committee approved an 8% increase in placement costs to contract counties. COMMENDATIONS C1. Staff is highly motivated to provide the youth in their care with the tools to become productive members of society. The Board of Supervisors agrees with the commendation C2. With limited resources staff rely on donations and "freebies" to provide educational off-site excursions for the youths. The Board of Supervisors agrees with the commendation. The Board of Supervisors thanks the 2016-2017 Grand Jury for their dedication of time and commends each member for their valuable community service. Sincerely, Randy Fletcher, Chairman Yuba County Board of Supervisors SUPERVISORS Andy Vasquez - District 1 • Mike Leahy - District 2 • Doug Lofton - District 3 • Gary Bradford - District 4 • Randy Fletcher - District 5 3 The Sutter County Board of Supervisors' Response to the 2016-2017 Yuba County Grand Jury Final Report R COL CALIFORNIA District No. 1 Ronald Sullenger Dan Flores District No. District No. Larry Munger Jim Whiteaker District No. 4 Mat Conant District No. 5 1 Sutter County Board of Supervisors Response to 2016-2017 Yuba County Grand Jury Report County of Sutter Office of the County Administrator 1160 Civic Center Boulevard Yuba City, California 95993 CALIFOR Phone: (530) 822-7100 Fax: (530) 822-7103 September 12, 2017 The Honorable Stephen Berrier Presiding Judge of the Yuba County Superior Court 215 5th Street Marysville, California 95901 Dear Judge Berrier: On behalf of the Sutter County Board of Supervisors, I am herewith submitting its response to the findings and recommendations of the 2016-2017 Yuba County Grand Jury. The Board of Supervisors has responded to the following report as requested by the Yuba County Grand Jury: SYBH Patient Absent Without Leave • The 2016-2017 Yuba County Grand Jury requested responses from the Sutter County Board of Supervisors, the Sutter County Human Services Department (HHS) and Sutter-Yuba Behavioral Health (SYBH). SYBH is a division of HHS and therefore the single attached response serves as the response for both HHS and SYBH. The Sutter County Board of Supervisors concurs with the

Commendations 4

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The 2016-2017 Yuba County Grand Jury requested responses from the Sutter County Board of Supervisors, the Sutter County Human Services Department (HHS) and Sutter-Yuba Behavioral Health (SYBH). SYBH is a division of HHS and therefore the single attached response serves as the response for both HHS and SYBH. The Sutter County Board of Supervisors concurs with the response from HHS. The Sutter County Board of Supervisors and administration thanks the Grand Jurors for the time they dedicated in serving the citizens of the Sutter-Yuba community. Grand Jury service requires a great amount of time and effort and the County appreciates the Grand Jury's dedication. Sincerely, Scott Mitnick County Administrator Page 2 of 4 1 Sutter County Board of Supervisors Response to 2016-2017 Yuba County Grand Jury Report SYBH Patient Absent Without Leave The Board of Supervisors, Sutter County Human Services Department and Sutter-Yuba Behavioral Health were requested to respond to this report. Below is the response from the Board of Supervisors. A response from the Health and Human Services Department, developed by the Director along with SYBH management staff, is included below as well.
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C1. Farsighted thinking by the Sheriff has eliminated many complaints from the disabled. The Board of Supervisors agrees with this commendation and wishes to join the Grand Jury is commending him and his staff for their hard work and dedication to the safety of our communities and those individuals in the Yuba County Jail. SUPERVISORS Andy Vasquez - District 1 • Mike Leahy - District 2 • Doug Lofton - District 3 • Gary Bradford - District 4 • Randy Fletcher - District 5
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The Board of Supervisors thanks the 2016-2017 Grand Jury for their dedication of time and commends each member for their valuable community service. Sincerely, Randy Fletcher, Chairman Yuba County Board of Supervisors SUPERVISORS Andy Vasquez - District 1 • Mike Leahy - District 2 • Doug Lofton - District 3 • Gary Bradford - District 4 • Randy Fletcher - District 5
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CO The County of Yuba 915 8th Street, Ste. 109 Marysville, California 95901 OFFICE OF THE BOARD OF SUPERVISORS (530) 749-7510 (530) 749-7353 FAX September 12, 2017 The Honorable Stephen Berrier Judge of the Superior Court Yuba County Courthouse 215 Fifth Street, Suite 200 Marysville, CA 95901 Re: RESPONSE TO 2016-2017 GRAND JURY - "SYBH Patient Absent Without Leave" Dear Judge Berrier, Provided pursuant to Penal Code Section 933(c) are the comments from the Board of Supervisors related to the findings and recommendations contained in the 2016-2017 Grand Jury Final Report - "SYBH Patient Absent Without Leave." Consistent with Section 933(c), responses are provided in concert with Sutter County, which provides the day to day governance and administration per a long standing agreement between the counties, serving both Sutter and Yuba County residents.

* This report's PDF did not contain easily extractable text and required Optical Character Recognition (OCR) for analysis. There may be minor errors in the extracted findings and recommendations due to OCR limitations with scanned documents.