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⚠️ Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.
Findings and Recommendations 12 findings
F1
Rejected/Denied Medicare bills were improperly sent to patients. Additional effort was required by county employees to resolve disputes between Medicare Insurance and ABS.
Related Recommendations (1)
R1
The County contract with cable TV signal providers should contain requirements for uniform basic services to all the communities it serves. The El Dorado County Board of Supervisors, is required by Penal Code 933 and 933.05 to respond to all Findings and Recommendations contained within this report. See page vi for the proper method for responding to Findings and Recommendations. South Tahoe Redevelopment Agency Reason for the report The 2003/2004 Grand Jury chose to investigate the of South Tahoe Redevelopment Agency (STRDA), specifically the announced $7,000,000 deficit in funding of the Park Avenue Project. Scope of investigation People interviewed See attached investigation report, , ”Investigation Methodology”. • Documents reviewed See attached investigation report, , “Materials Reviewed”. •
F2
ABS was requesting payments from patients through County Counsel even though the Medicare disputes were not resolved.
No recommendations for this finding
F3
A number of these disputed bills are not being resolved properly and patients are being billed.
No recommendations for this finding
F4
Different billing terminology between Medicare and ABS caused confusion among patients. These differences caused difficulty when patients called Medicare to resolve the disputes.
No recommendations for this finding
F5
Lack of written policies and procedures in ABS resulted in improper handling of ambulance transport claims.
Related Recommendations (1)
R5
ABS employees must be trained on the coding of Medicare bills and on the County’s written policies and procedures. The El Dorado County Board of Supervisors, coordinating with the above mentioned agencies, is required by Penal Code 933 and 933.05 to respond to all Findings and Recommendations contained within this report. See page vi for the proper method to respond to Findings and Recommendations. Child Protective Services Reason for the report The 2003/2004 Grand Jury received a complaint about inconsistent application of policies and procedures in Child Protective Services (CPS) and decided to review the 2001/2002 Health and Social Services Committee report. As a result of this review a general investigation of CPS was made. Scope of the investigation People interviewed Auditor-Controller • • Chairman of the 2001/2002 Grand Jury Health and Social Services Committee CPS Program Managers • CPS Supervisor • Current and former CPS employees • Department of Social Services Accountant • Director, Department of Human Services • El Dorado County Judicial Commissioner • Former acting Director of Human Resources • Former Assistant Director, Department of Social Services • Former Director, Department of Social Services • Documents reviewed 2001/2002 Grand Jury report • CPS manual • Sites visited CPS, Placerville • CPS, South Lake Tahoe •
F6
Lack of training resulted in improper coding on Medicare forms.
Related Recommendations (1)
R6
Provide additional ventilation for the animal runs to dry more quickly.
F7
There are no facilities for larger animals, such as horses, goats, etc.
Related Recommendations (1)
R7
Additional facilities are needed for larger animals. ASSESSORS OFFICE, PLACERVILLE
F8
There is no handrail.
Related Recommendations (1)
R8
Install additional overhead lighting in the parking lot.
F9
Although three large lights shine on the stairs, the lights are blocked by tree branches or trunks.
Related Recommendations (1)
R9
The security gate needs to be repaired and maintained. Follow up The Grand Jury made a follow up visit on 03/09/04, the following corrections had been made:
F10
No “direct” lighting was on the stairs.
Related Recommendations (1)
R10
Major software companies should be consulted to review county operations and make recommendations for improvement. See IT report for additional recommendations.
F11
The entire parking lot is poorly lit.
Related Recommendations (1)
R11
The Board of Supervisors, department directors and employees, must support important workplace values, such as pride, respect, responsibility, and professionalism.
F12
The security gate allowing access to the parking lot is non-operable.
Related Recommendations (1)
R12
The Redevelopment Agency’s five year Implementation Plan for the period January 2000 to December 2004 (not included in the addenda due to its size). Addenda
Conclusions 7
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CL1and program costs incurred by the City prior to and after the execution of this agreement in furtherance of the redevelopment programs in the Project Area. Presently, these costs include administrative and program costs of $3,178,000 and public improvement costs of $3,829,000; A formal loan agreement will be executed and interest will be charged at
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CL2the applicable LAIF rate. It may be possible for up to $2 million to be returned to the general fund over the next 3 years through the retirement of $9.4 million of the BANS that come due in October 2004. This return of this money probably will not begin until 2005. The balance of the deficit will need to be repaid from the future growth in
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CL3revenues. (Note: Discussion during the Council meeting indicated that in several years, the completed project should generate approximately $1 million in excess revenue each year that will go back to the general fund.) Actions Taken To Prevent Recurrences After David Jinkens became City Manager and Bruce Budman became Director of Finance, the format of the budget documents were reconfigured to make them more user- friendly. The Council is also being given monthly reports comparing actual expenditures against budgeted amounts in all major fund categories. Examples of these reports can be found in Addendum 11. Jinkens also reorganized the Finance Department, upgraded the top level finance position from Manager to Director and had the Department report to him directly. In a staff report to the City Council dated November 16, 2003, City Manager David Jinkens advised the Council of new controls he had implemented to ensure better accountability and greater review of financial transactions. The complete report can be found at Addenda 12. Highlights included the following:
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CL4in one fiscal year will be brought forward in a budget document for each fiscal year to ensure proper accounting of revenues and expenditures in a particular fiscal year. Anticipated cost overruns of capital, acquisition and/or public projects will
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CL5be reported to the City Council as soon as practical. Approval for budgeted expenditures for RDA projects being implemented
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CL6by other City Departments shall require the approval of the originating department manager, the RDA manager, Finance Department and the City Manager.
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CL7irregularities in the handling of City finances, fund balance issues or internal control issues to the Finance Director, City Manager and City Council, in accordance with generally accepted accounting procedures.
Commendations 1
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CM1El Dorado County currently supports numerous volunteer programs. The Grand Jury recommends that the BOS empanel a blue ribbon committee to investigate and determine additional areas to expand the volunteer programs. The El Dorado County Board of Supervisors, coordinating with the above mentioned agencies, is required by Penal Code 933 and 933.05 to respond to all Findings and Recommendations contained within this report. See page vi for the proper method for responding to Findings and Recommendations. Trust Funds Reason for the report The 2003/2004 Grand Jury chose to review county trust fund accounts. Scope of the investigation People interviewed Auditor-Controller Assistant Auditor-Controller Chief Administrative Officer (CAO) Members of the Board of Supervisors (BOS) Documents reviewed BOS Agenda Transmittal Sheet dated 03/02/04 Letter dated 2/11/04 from the Auditor-Controller to the BOS with attachment Trust Fund Accounts Reconciliation Sheets for fiscal year ending 6/30/03