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MOTION BY SUPERVISORS RIDLEY-THOMAS AND BARGER
MAY 26, 2020
PAGE 6

of Skilled Nursing Facilities in Los Angeles County (Report). The Report should provide

an evaluation of SNFs within the County, and recommendations on operational and
programmatic changes necessary to improve the County’s monitoring and oversight of

these facilities. The Report should also include legislative and regulatory

recommendations aimed at improving operations within these facilities, given the role of
state and federal regulations impacting the operation of these facilities. The Report should

be completed in consultation with the Auditor-Controller, directors of the health and social
services departments of the County, County Counsel, and other appropriate department

leaders. The Inspector General should also consult with subject matter experts including
but not limited to medical professionals, representatives of patients, workforce, and

insurance payers, as well as individuals with a high level of understanding of SNF

administrative, financial and operational protocols, as well as legal and regulatory
oversight to guide the recommendations within the Report. The Inspector General should

be selected on or before July 1, 2020, provide a proposed scope of work to the Board in
writing by August 1, 2020 that outlines a schedule for completing the Report, and

thereafter provide interim reports every 60 days until the final Report is completed. A

qualified County employee should either be reassigned to the position of Inspector
General or philanthropic resources should be secured in the event that the most suitable

candidate is not a County employee.

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(DJ/HS)