Report 2018-102 Recommendation 2 Responses

Report 2018-102: Tulare Local Healthcare District: Past Poor Decisions Contributed to the Closure of the Medical Center, and Licensing Issues May Delay Its Reopening (Release Date: October 2018)

Recommendation #2 To: Tulare Local Healthcare District

To ensure that the district pays only reasonable and appropriate contract administrative costs, before the district signs any future management contract, it should prepare estimates of the costs for all proposed contract terms related to compensation.

1-Year Agency Response

Written policy approved by the Tulare Local Healthcare District Board on 24 April 2019.

  • Completion Date: May 2019
  • Response Date: May 2019

California State Auditor's Assessment of 1-Year Status: No Action Taken

The district's policy does not address our recommendation that it prepare estimates of the costs for all proposed contract terms related to compensation.

  • Auditee did not substantiate its claim of full implementation
  • Auditee did not address all aspects of the recommendation

6-Month Agency Response

We were delayed in bringing on new staff to implement the appropriate recommendations, but Board members are working to amend our policies and hope to approve them at our next regular board meeting on April 24.

  • Estimated Completion Date: April 2019
  • Response Date: April 2019

California State Auditor's Assessment of 6-Month Status: Pending


60-Day Agency Response

The District concurs with the recommendation and will update its policies to conform.

  • Estimated Completion Date: October 2019
  • Response Date: December 2018

California State Auditor's Assessment of 60-Day Status: Pending


All Recommendations in 2018-102

Agency responses received are posted verbatim.