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Findings and Recommendations 5 findings
F1
Forty percent of medical emergencies occurred at remote juvenile facilities on weekends during the study year.
Related Recommendations (2)
R1
Conduct a study to better understand the severity of the medical emergencies occurring during nurses’ off-duty hours. (Findings 1-2)
R2
Take appropriate action after analyzing the study to mitigate lost time and costs. (Findings 1-2)
F2
DPCs are more inclined to transport a minor to Juvenile Hall in a medical emergency when a nurse was not present.
Related Recommendations (2)
R1
Conduct a study to better understand the severity of the medical emergencies occurring during nurses’ off-duty hours. (Findings 1-2)
R2
Take appropriate action after analyzing the study to mitigate lost time and costs. (Findings 1-2)
F3
Transporting minors to routine medical appointments increased demand on staff time, added transportation costs, and lost ADA funds. The total cost savings, cost avoidance, and additional ADA money to OCDE could be approximately $150,000 a year by the addition of a physician visit to remote facilities. 4
Related Recommendations (1)
R3
Examine the medical contract to see if it could include a weekly physician visit to all remote facilities. (Findings 3-4)
F4
HCA currently has a contract with a local hospital and medical group to provide health care to juveniles.
Related Recommendations (1)
R3
Examine the medical contract to see if it could include a weekly physician visit to all remote facilities. (Findings 3-4)
F5
Juvenile Hall has changed the dental appointment procedure to reduce the number of routine dental trips from Joplin and Los Piños by sixty percent. Responses to Findings 1-5 are required from the Board of Supervisors. Response to Finding 3 is required from the Superintendent of the Orange County Department of Education. Responses to Findings 1-5 are requested from the Probation Department and the Health Care Agency.
Related Recommendations (1)
R4
Continue the twice-weekly dental appointment practice for Joplin and Los Piños. (Finding 5) Responses to Recommendations 1-4 are required from the Board of Supervisors. Responses to Recommendations 1-4 are requested from the Probation Department and the Health Care Agency. 5
Agency Responses 1
Government agencies' official responses to this report's findings and recommendations. Click on a response to see the structured breakdown.