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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.
⚠️ Translation Notice: This content has been automatically translated. The original English text is the official version. Translation may contain errors.
⚠️ Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.
Findings 2 findings
F1
Page 33
The process of entering the main unit from the administrative office is inadequate and relies on a phone call to the nurses’ station, where staff has no direct line of sight of the hallway in front of the office and who must rely on convex mirrors and a real-time video camera and television in order to assess the situation.
F2
Page 33
SYBH policies and procedures regarding medical assessment of a returning patient were either not in place at the time of this incident or were not followed by the staff.
Recommendations 15
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R1Page 34Install a one-way glass window in the door of the administrative office to enable staff to check the hallway before opening the door. Also, a video surveillance system should be installed in the administrative office that would monitor the hallway outside of its door.
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R2Page 34Any patient who leaves SYBH without permission must be taken to Rideout’s Emergency Room for medical clearance prior to being returned to SYBH. Local law enforcement should be notified of this requirement, and SYBH policies should be amended to reflect this procedural change. Responses • Sutter-Yuba Behavioral Health • Sutter County Board of Supervisors • Sutter County Human Services Department • Yuba City Police Department • Yuba County Board of Supervisors Reports issued by the Civil Grand Jury do not identify individuals interviewed. Penal Code Section 929 requires that reports of the Grand Jury not contain the name of any person or facts leading to the identity of any person who provides information to the Civil Grand Jury. 25
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R3Page 34On July 1, 2012, will you have been a continuous resident of Yuba
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R4Page 34Are you in possession of your natural faculties, of ordinary Intelligence, of sound judgment and of fair character? Yes No
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R5Page 35Do you speak, write and understand English? Yes No
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R6Page 36Have you been discharged as a Grand Juror in any court of this State within the last year? Yes No
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R7Page 36Have you ever served as a Grand Juror? Yes No If so, what county and when?
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R8Page 36Have you applied for the Grand Jury in the past? Yes No If so, what year(s)?
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R9Page 36Are you a registered voter? Yes No
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R10Page 36Are you able and willing to define and evaluate issues without
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R11Page 36If you are employed, does your employer know that you are interested in serving on the grand jury, and does he/she under- stand the nature and extent of the duties of a grand juror? Yes No
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R12Page 36Are you capable of and willing to conduct detailed investigations of city and county governmental issues and prepare reports on those issues? Yes No
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R13Page 36Are you currently serving as an elected public official or do you plan to run for public office within the next eighteen months? Yes No
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R14Page 36Are you related to and closely associated with any of the following: Yuba County Superior Court judge? Yes No
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R15Page 36As a member of any profession or organization or as a holder of any office, have you ever been suspended, disbarred or otherwise disqualified Yes No Have you been charged with any of the following: