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Extracted from Consolidated Report

This investigation was originally published as part of a larger consolidated report containing multiple investigations. View the consolidated PDF for the complete document.

Amador County Grand Jury • 2001-2002

Hilde Abb Mary Barber Beverly Boriolo

Published: June 25, 2002 92 pages
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Findings 6 findings

F1
Facts: • A Joint Powers Agreement (JPA) with four other counties, San Joaquin, Stanislaus, Calaveras and Mariposa, contracts with Mountain-Valley Emergency Medical Services to provide service. June 25, 2002 2001-2002 Final Report 3 Findings: • The JPA allows more access to individuals who are expert in different areas of emergency medical care than a single county could afford. • In case of a major disaster, greater back-up resources are readily available.
F2
Facts: • Training is provided to emergency medical personnel for Emergency Medical Technician (EMT) certification. • Mountain-Valley Emergency Medical Services Agency holds simulated disaster training for EMS responders and all other emergency response providers. • First aid and CPR training are available to the public. Findings: • Emergency Medical Technicians are up to date in their training. • Coordination between responding agencies is accomplished by on-going training.
F3
Facts: • Reducing the response time to remote areas of our County is an on-going priority. • Many rural roads in Amador County are remote and difficult to locate and access, especially during inclement weather. • Air ambulance service is available if needed. Findings: • None
F4
Facts: • Placement of children in foster homes is determined by availability and suitability of the facility for the child or children. • Every effort is made to place children with willing and able relatives and to keep siblings together. • Foster Family Agency homes charge Amador County a substantially higher rate per child than Foster Family homes, but provide many additional benefits to both foster parents and foster children. • County social workers visit children in foster care on a monthly basis. • Group homes provide the highest level of structure for a child, however, it costs Amador County substantially more per child. Group homes are used only after efforts to place in foster homes have failed. • Due to a lack of local Foster Care homes, parents and social workers in Amador County must travel substantial distances to visit children in foster care. • Many children in foster care are from financially disadvantaged families. • Pleas for additional Foster Families made through Churches and other organizations in Amador County have gone unanswered. • Information on licensing for foster care and foster care information classes may be obtained by calling (209) 223-6550. Findings: • Family visitation is financially difficult for some parents whose child/children are living in foster care. • More licensed Foster Family homes in Amador County would be advantageous to children in foster care and their families, and would be less costly for the County. 10 2001-2002 Final Report June 25, 2002 • Foster parents certified through Foster Family Agency homes prefer to be certified through an agency rather than to be licensed through the state. They feel protected by their agency in liability matters and appreciate additional support given by agency • social workers who are available for weekly home visits as opposed to monthly visitations provided by the county social workers.
F5
Facts: • Courts commonly order a parent or guardian to attend mandatory classes in parenting or substance abuse programs as part of the reunification process. • Many children and parents of children in foster care rely on county-provided resources for counseling, parenting classes and substance abuse recovery programs. • When counseling services are not available through the county due to financial restrictions, CPS will pay for the services through its budget. Findings: • CPS makes every effort to provide the services necessary for the reunification of families whenever possible.
F6
Facts: • There were three citizen complaints concerning inmate medical services at the jail. Refer to Citizen Complaint's section. • Only one of the three inmates who filed complaints agreed to have his records released to the Grand Jury. • The County of Amador contracts with the California Forensic Medical Group, Inc. (CFMG) for medical services for inmates. • The contracted detention physician is required to be on-site one day per week, and in addition make house calls upon request. Per the contract of June 1, 1999, the county agreed to pay the sum of $171,708.55 annually. • The contracted physician provides a registered nurse who is on-site at the facility Monday through Friday from 7:00 a.m. to 11:00 a.m. • The CMFG staffing plan is based on an average population of 50 adults. • Amador County Detention Facility has policy and procedures for Non-Medical Sick Call, Emergency Medical and Medication Management located in the Jail Manual. • Inmates that are detained for more than two days are required to have a physical by the medical staff consisting of a Health Inventory, Communicable Disease Screening and TB Assessment. June 25, 2002 2001-2002 Final Report 27 Findings: • The registered nurse saw inmates who requested sick call in a timely manner. • Medical records including Doctors Orders, Problem List, Progress Notes and photographs were found to be legible and in order. • Inmates were advised as to their assessment plans and follow up care. Inmate patient contacts by the registered nurse are reviewed by the detention physician.

Recommendations 13