Hhsc received data from a nation-wide study titled The 2013 County Health Rankings. This report has Lake County health

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The Department of Health Services Division of Public Health continue aggressively addressing health issues and be commended for actively pursuing solutions to public health issues in Lake County. (F1, F2) Request for Responses:  Lake County Department of Health Services through the BOS (90 days) 2012-13 BLANK -13 Lake County Jail Medical Oversight Summary: Under California State Law, any facility which incarcerates individuals within its county borders must receive an annual review by the Civil Grand Jury. The Lake County Civil Grand Jury received several complaints pertaining to health issues which were investigated by the Health and Human Services Committee (HHSC) of the Grand Jury. Background: The Lake County Jail located at 4913 Helbush Drive in Lakeport California was designed to hold a maximum capacity of 286 inmates. There are required processes for determining inmate classification. This precludes certain types of inmates from being housed together, e.g., violent felons, men/women, gang-affiliates, etc., which complicates housing. In addition, there are other health and safety standards which must be met while legally housing inmates. The county provides contracted medical services to inmates via the California Forensic Medical Group (CFMG). Procedure: The HHSC committee toured the facility, spoke with current inmates, interviewed the Lake County Undersheriff (who serves as the Jail Commander), reviewed grievances and grievance logs, interviewed the contracted medical provider charge nurse and the contracted mental health nurse. The HHSC committee was also provided with a Cal/OSHA report issued on 5/17/2012. The HHSC committee requested the Jail Commander and other command staff demonstrate use of the newly installed portable defibrillator (AED). Discussion and Facts: 1. At the time of the initial visit the HHSC committee found the inmate population to be more than the mandated capacity of 286. The census increased during the next two months reaching over 300. The overpopulation causes a problem for the medical staff to provide proper medical attention due to the number of patients to be seen each day. 2012-13 2. Inmates beds were placed in open common areas in an attempt to alleviate overcrowding. 3. Based on reports from CFMG and command staff there is no easily transmitted “serious communicable diseases” currently evident at the correctional facility. 4. Inmate access to toilet paper is controlled by the correctional staff. When an inmate is in need of toilet paper the inmate must show the empty roll to an officer before receiving another roll. 5. Inmates were observed working with hazardous materials while putting down tile in the shower areas and not using any of the recommended safety equipment. 6. All deputies and correctional staff are required by County policy and procedures manual, to be CPR certified and must be proficient in the use of the AED, 7. The inmates reported to the HHSC committee an incident of over- chlorination of the water at the jail. The water chlorination problem was addressed and bottled water was issued to inmates and staff at the time of the incident Findings:

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The AAA provide brochures and or posters with information assistance and phone numbers to be posted in sight in senior centers and other places where seniors are likely to frequent. (F1) Request for Responses:  Department of Social Services Director, County of Lake through the Board of Supervisors (90 days) 2012-13 BLANK -13

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The Department of Health Services Division of Public Health continue aggressively addressing health issues and be commended for actively pursuing solutions to public health issues in Lake County. (F1, F2) Request for Responses:  Lake County Department of Health Services through the BOS (90 days) 2012-13 BLANK -13 Lake County Jail Medical Oversight Summary: Under California State Law, any facility which incarcerates individuals within its county borders must receive an annual review by the Civil Grand Jury. The Lake County Civil Grand Jury received several complaints pertaining to health issues which were investigated by the Health and Human Services Committee (HHSC) of the Grand Jury. Background: The Lake County Jail located at 4913 Helbush Drive in Lakeport California was designed to hold a maximum capacity of 286 inmates. There are required processes for determining inmate classification. This precludes certain types of inmates from being housed together, e.g., violent felons, men/women, gang-affiliates, etc., which complicates housing. In addition, there are other health and safety standards which must be met while legally housing inmates. The county provides contracted medical services to inmates via the California Forensic Medical Group (CFMG). Procedure: The HHSC committee toured the facility, spoke with current inmates, interviewed the Lake County Undersheriff (who serves as the Jail Commander), reviewed grievances and grievance logs, interviewed the contracted medical provider charge nurse and the contracted mental health nurse. The HHSC committee was also provided with a Cal/OSHA report issued on 5/17/2012. The HHSC committee requested the Jail Commander and other command staff demonstrate use of the newly installed portable defibrillator (AED). Discussion and Facts: 1. At the time of the initial visit the HHSC committee found the inmate population to be more than the mandated capacity of 286. The census increased during the next two months reaching over 300. The overpopulation causes a problem for the medical staff to provide proper medical attention due to the number of patients to be seen each day. 2012-13 2. Inmates beds were placed in open common areas in an attempt to alleviate overcrowding. 3. Based on reports from CFMG and command staff there is no easily transmitted “serious communicable diseases” currently evident at the correctional facility. 4. Inmate access to toilet paper is controlled by the correctional staff. When an inmate is in need of toilet paper the inmate must show the empty roll to an officer before receiving another roll. 5. Inmates were observed working with hazardous materials while putting down tile in the shower areas and not using any of the recommended safety equipment. 6. All deputies and correctional staff are required by County policy and procedures manual, to be CPR certified and must be proficient in the use of the AED, 7. The inmates reported to the HHSC committee an incident of over- chlorination of the water at the jail. The water chlorination problem was addressed and bottled water was issued to inmates and staff at the time of the incident Findings: