The County of San Bernardino minimum requirements for the Health Officer are as follows: “a licensed physician in the

The Board of Supervisors disagrees with this finding. Clinical staffing composition is the result of a number of criteria. These criteria include but are not limited to grant funding, general fund costs, grant requirements, budgetary limitations, scope of work, staff licensure, labor memorandums of understanding, skill mix, staffing levels at numerous locations, staff availability, continuing education training schedules, unanticipated staffing shortages, and emergency response. Program-level managers often do not take all of the criteria into consideration when advocating staffing for their individual programs as administrators must. Staffing decisions are never made arbitrarily and are the result of consultation with affected programs and only after considerable due diligence by departmental administration.

Although the finding states that the grand jury “made no determination whether or not such conduct was pervasive throughout DPH”, the Board of Supervisors disagrees with the impression that may have been created by the finding. The Board of Supervisors believes that any discomfort that was expressed to the grand jury was the result of an adjustment to a new manager, who had been tasked with carrying out a bold initiative – integration of services provided by Public Health, Behavioral Health, and Arrowhead Regional Medical Center. It should be noted that in order to improve morale in the face of change, the executive staff of Public Health has sponsored employee appreciation events, an employee recognition program, a Public Health newsletter, and included staff at all levels regarding policy decision-making.

The Board of Supervisors disagrees with this finding. The Public Health Director denies making the statement attributed to him in the finding. In an effort to facilitate better departmental communications at all levels, the new Director of 2