LACP.org
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Chick Finds Deficiencies in Audit
of City's Disaster Preparedness

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Chick Finds Deficiencies in Audit of City's Disaster Preparedness
Report recommends many changes

July 14, 2008

Los Angeles
City Controller Laura Chick has found that the City lacks key components in its emergency and disaster preparedness.

EDITOR'S NOTE: For your convenience the Executive Summary and Recommendations are below.

“The City of Los Angeles certainly has suffered from its share of natural disasters, such as earthquakes, fires and flash floods. Unfortunately, since 2001, we also know that terrorist attacks are now additional potential man-made disasters. It is only a matter of time before we face the next large-scale emergency and we must be better prepared than we are now,” said Chick, who released an audit of the City's emergency planning efforts and disaster preparedness.

“This audit was conducted to ask and answer the question: Is the City of Los Angeles well-prepared for a major emergency? How can we say the City is well-prepared when it doesn't even have an overarching strategy that coordinates all the necessary pieces for a disaster recovery plan? How can we say the City is prepared when there is no follow-through to correct problems that are identified during training exercises?” said Chick.

“With an utterance of a code word, the City's emergency plans should click inside the City as well as coordinate with leaders in the residential and business communities and key non-profits such as the Red Cross. To date, there is no integrated, comprehensive strategy that accomplishes this,” said Chick.

The Chick Disaster Preparedness Report found the following deficiencies in the City:

  Each City Department has its own emergency plan and many have not been up-dated in years, are not of high-quality, and don't meet national standards.

  Emergency preparedness exercises and training are not well-coordinated or planned and corrective actions are not tracked or followed for implementation
.

  Administration of about $200 million in Homeland Security and other public safety grants has been hampered by weak program management, excessive delays in spending the money, and not having an outcome assessment of the overall grant program performance.

  The City's collaboration with other government, private and non-profit entities, including the Red Cross, needs to be strengthened.  

“While a 2006 National Peer Review on plan sufficiency found Los Angeles at the top of State and national cities, it also made numerous recommendations for needed improvement. The City still has not implemented many of those recommendations,” said Chick.

“An essential role of government is to ensure the safety of its residents. Being prepared for a major emergency is paramount to providing that protection. It is now up to us, the elected leadership of Los Angeles, to take swift and effective action to ensure that we are absolutely ready to meet any emergency or disaster that may come our way,” concluded Chick.

Performance Audit of the City of Los Angeles’
Emergency Planning Efforts and
Citywide Disaster Preparedness


EXECUTIVE SUMMARY

Background

The City’s emergency planning and disaster preparedness program involves nearly all of its departments. The roles and responsibilities of these departments vary and can be significant. The Police Department and Fire Department, with their primary public safety missions, are certainly key participants in the program. In addition, the Los Angeles World Airports and the Harbor Department have major responsibilities, due to inherent risk exposures of their operations. Because it manages major infrastructure for the City, the Public Works Department has responsibilities that touch on virtually every area of emergency response, recovery and reconstruction. Other departments can also have major emergency planning and disaster preparedness responsibilities. For example, the Parks and Recreation Department is responsible for opening shelters in the event of a major emergency or disaster and has involvement in services for the elderly and other special needs populations.

The organization of the City's emergency preparedness and response activities are established in the City Charter and Administrative Code. Activities are performed by all City departments, who are members of the Emergency Operations Organization (EOO). This group is led by the Mayor, who serves as the EOO Director. The Administrative Code also establishes the Emergency Operations Board (EOB), which governs and supervises City departments during an actual emergency, and governs the City’s response and recovery activities. This structure was established to enhance centralized command and information coordination in the event of a major emergency or disaster, and is tasked with disaster and incident-based planning duties. By ordinance, the permanent chair of the EOB is the Police Chief.

In 2000, when the new City Charter gave the Mayor direct authority over the City’s emergency management, a separate Emergency Management Department (EMD) was established. Previously, these functions were performed by staff within a division of the City Administrative Office. Led by an appointed General Manager, EMD provides coordination, management and leadership to help optimize the City’s capability to effectively respond to large scale emergencies and ensure continuity of operations and government.

To answer the question of “whether the City is prepared,” the City Controller asked for an evaluation of the structure that has been established and the activities of departments that are charged with major coordination or oversight responsibilities for the system. Therefore, although this performance audit touched on activities of all City departments, particular emphasis was directed toward the activities of the Emergency Operations Board (EOB), the Emergency Management Department (EMD) and the Mayor’s Homeland Security and Public Safety Division (HSPS).

Scope

The audit was initiated by the Controller to (a) determine the adequacy of emergency planning and disaster preparedness efforts in the City, and (b) determine whether the needs of the public would be met by the City's response to a significant emergency or disaster. Following a 2006 National Peer Review coordinated by the GAO and the U.S. Department of Homeland Security, the City Controller also requested an evaluation of the efforts being undertaken by the City to resolve peer review findings. The specific areas assessed during this performance audit included:

1. Operational readiness. The City of Los Angeles functions under a centralized emergency planning and disaster preparedness system, in accordance with the Los Angeles Administrative Code. The audit focuses on how well the City's plans address the functional areas of management direction and/or control of multiple stakeholders and resources, coordination with other agencies, and other emergency preparedness activities.

2. Effective communication and coordination. Effective emergency planning and disaster preparedness response for major events requires coordinated planning and actions across agencies, jurisdictions and levels of government. The audit focuses on how well the City's plans address communication and coordination of City, State, and federal agencies, as well as the City's public warnings and information dissemination protocol.

Summary of Results

The City has not established an appropriate organizational structure or effective mechanisms for coordinating emergency planning and disaster preparedness activities. Authorities are not well balanced, overall missions and priorities have not been established and communicated by officials through a comprehensive Citywide strategy, and resources to accomplish key objectives are not clearly understood. Changes are needed to ensure the City is effectively prepared.

Further, the condition of the City’s emergency plans, training programs and collaborations with external organizations does not adequately ensure that the City will have an effective response to emergencies or disasters. The audit found that emergency plans are outdated and incomplete; training is not approached strategically; corrective actions go unresolved for long periods; and collaboration with other government, private and non-profit entities needs strengthening. Because of the significance of the Department of Homeland Security grant programs in which the City participates, improvements are also needed in the administration and evaluation of key federal grant programs.

The audit found strengths with current operations. Recent changes in the leadership and structure of the Emergency Management Department are encouraging, with steps being taken to conduct internal assessments to improve the organization’s effectiveness. Similarly, the Mayor’s Office has recognized some of the weaknesses that have existed with UASI and SHSGP grant management, and has independently initiated improvements in FY 2007-08.

Key Findings

  The City has not articulated a strategic vision or developed a strategic plan for accomplishing critical emergency preparedness goals and objectives.

Strategic plans are tools that assist organizations with defining their missions, goals and objectives; approaches toward achieving goals and objectives; and, methods for measuring the success of a program. Such plans communicate goals and objectives to constituencies, develop a sense of ownership by responsible officials, and provide a mechanism whereby an organization can develop strategies for leveraging scarce resources in a cost effective manner. Like a budget, a strategic plan should be established and built upon each year so that it addresses the changing needs and priorities of the organization.

In Los Angeles, emergency planning and disaster preparedness priorities are not driven by a Citywide strategic vision or plan, but rather by the requirements of federal and State government grant programs, immediate concerns expressed by various mayors and city councils, regional collaborations, and other initiatives that originate at the departmental level. The City has published a Master Plan and departmental emergency plans. However, these plans are designed to ensure operational readiness and the coordination of departments and external partners during an emergency. They do not provide the key elements of a strategic plan, which is intended to define overarching program goals and strategies for success.

Further, the City does not take full advantage of opportunities to define emergency preparedness goals, objectives or strategies. For example, the annual Lake Arrowhead Conference focuses on training, collaboration and limited emergency planning and disaster preparedness gap analysis. While the Conference is also intended to produce some policy direction from the Mayor and define short-term emergency preparedness objectives, a review of documentation from past conferences indicates that such results have been limited.

  The current formal leadership structure of the EOB does not provide balanced authority or accountability for critical emergency preparedness functions. There is no formal role for the Fire Chief on the EOB; and, the EMD does not fulfill a top leadership role on the Board, or have the institutional authority to ensure consistent coordination of and cooperation from City departments.

Other than simple membership, there is no formal role for the Fire Chief on the EOB, even though the Fire Department would play a critical role in virtually every major emergency or disaster. In addition to his role as a member of the EOB, the Administrative Code charges the General Manager of the EMD with coordinating “the authorities, powers, duties, and responsibilities of the Emergency Operations Board and Organization.” However, the EMD does not fulfill a top leadership role on the EOB, nor does it have the institutional authority to ensure consistent coordination and cooperation from City departments on an ongoing basis.

The City of Los Angeles should explore alternatives for strengthening the formal authorities of the Fire Department and EMD through the EOB structure. One alternative would be to establish an Executive Committee of the EOB that would include the Police Chief, the Fire Chief and the General Manager of EMD. This group could be assigned specific authorities in the Administrative Code that would ensure a more balanced and strategic approach to emergency management in the City. For example, the Executive Committee could be made responsible for directing activities related to the development and maintenance of a strategic plan, evaluating staffing and resource allocation requests for emergency management services across all City departments, providing oversight and recommendations to the Mayor regarding UASI and other major homeland security and disaster assistance grant programs, and generally directing the emergency planning and disaster preparedness activities of the departments, in accordance with directives received from the Mayor and City Council.

  There is no up-to-date or complete inventory of all of the City’s emergency plans. In addition, emergency plans are not timely, and the content of such plans is not consistent or of high quality in all cases.

Emergency plans, if completed in a timely, clear, organized, and comprehensive manner, should serve as a critical and effective element of emergency management by defining the roles, responsibilities, and required actions by personnel and agencies during emergencies or disasters. The City of Los Angeles has many emergency preparedness plans with varying purposes and objectives, but many of these plans are not timely or up-to-date, have inconsistent plan content and quality, and have weaknesses relating to plan effectiveness.

For example, out of the 26 Departmental Plans reviewed for this audit, sixteen, or 62 percent, had not been updated for at least three years. Some of the Police Department plans that were on file at the Emergency Operations Center had not been revised since 1998, and one of the Fire Department plans had not been revised since 1992. Master Plan annexes, which are either disaster-specific (e.g., earthquake, tsunami) or functional (e.g., evacuation, care and shelter) plans that are intended to augment the City’s Emergency Operations Master Plan and Procedures, exhibited similar weaknesses. For example, 10, or 59%, of the Master Plan annexes had not been updated for over 10 years, and 6, or 35%, had not been revised since 1993. Further, eleven of the 26 departmental plans reviewed, or 42%, were non-compliant or inconsistent with the most recent EMD guidelines and standards. Not having timely and consistent emergency plans could result in inaccurate and confusing information during an emergency, which could negatively impact the City’s overall emergency and disaster preparedness and response.

In addition, a formal review of departmental emergency plan compliance with the standard elements of Continuation of Operations/Continuation of Government (COOP/COG) has not been completed, and almost all departmental emergency plans do not meet National Incident Management (NIMS) standards, which include critical elements that should be incorporated into existing emergency plans. When emergency plans do not comply with COOP/COG and NIMS standards, the overall effectiveness of the plans are limited, particularly with regards to ensuring the continuation of essential functions and maintenance of governmental institutions during emergencies. Further, by not complying with these standards, the City cannot ensure consistency when preparing for, responding to, or recovering from an emergency or disaster situation. For example, no departmental plan described resources that would be managed during an emergency event, nor did they include a comprehensive resource management protocol regarding mutual aid during exercises or actual events.

  Emergency preparedness exercises and training are not well coordinated or planned

Emergency exercises and training are integral parts of the City’s overall emergency preparedness efforts. City employees participate in a variety of emergency preparednessrelated exercises and training activities every year, but improved tracking, planning, and coordination are needed to ensure efficiency and effectiveness. For example, listings of emergency preparedness exercises and training are not always comprehensive and complete, making it difficult to assess whether the current exercises and training functions are duplicated or overlapping, and if specific gaps exist. Training and exercise activities are also not fully coordinated and the process for planning and prioritizing these activities has not been established. For example, the City chose to participate in a County sponsored tsunami response exercise during the period of this audit. However, after the first day of the three day exercise, the EMD General Manager determined that City departments were not prepared to participate since staff had not yet been fully trained on the recently adopted Tsunami Response Plan or the City’s new on-line emergency information sharing software (i.e., Web EOC). Rather than participating in exercises merely because the opportunity presents itself, a strong centralized process for developing and implementing a needs-based, comprehensive, and multi-year approach to fulfilling the City’s emergency preparedness exercise and training needs is necessary in order to ensure these efforts are effective.

  After Action Reports corrective actions are not tracked or systematically followed for implementation

The City does not have a systematic or consistent approach for tracking and following-up on actions needed to correct deficiencies identified through exercises and trainings. Because there is no mechanism for ensuring that corrective actions are fully implemented, the City does not always make the improvements that are necessary to effectively respond to or recover from large-scale emergencies or disasters.

After Action Reports (AARs) are required for training exercises to identify deficiencies during exercises and to document a plan for correcting such deficiencies. However, the City does not have formal mechanisms for ensuring that AARs and improvement plans are completed after every emergency exercise. There are no provisions in the Master Plan requiring the completion of AARs, or improvement plans for all types of exercises within specified time periods. As a result, AARs and improvement plans are not always completed after every emergency exercise.

Available AARs reviewed during this audit did not completely adhere to federal guidelines. For example, many AARs were missing critical required components, including formal improvement plans, intended to outline actions that the exercising jurisdiction plans to take, and list recommendations, specific actions, responsible parties for implementing recommendations, and target completion dates.

  Comprehensive and collaborative strategies have not been developed with external public- and private-sector entities

There are federal, State and local government mandates and initiatives that authorize how public officials must work collaboratively with each other, as well as with private, non-profit and individual community members to respond to significant emergency incidents. While there are numerous institutional barriers to effective and sustained emergency collaboration, a review of the City’s efforts reveals that these collaborations are not systematically identified, organized, interrelated or maintained; nor has an overall structure and ongoing commitment to regularly and systematically partner with outside organizations been developed. As a result, overlapping and duplicative efforts, as well as significant gaps exist.

For example, there are not formal agreements with the Greater Los Angeles American Red Cross, such as exist in other cities and counties, specifying City and Red Cross responsibilities in the event of an emergency or disaster. In addition, both the Fire Department and Department of Neighborhood Empowerment (in cooperation with EMD) have community training programs, and until very recently, the Police Department had a similar program. Yet, these programs are not well coordinated and in some cases duplicate one another. In addition to building effective collaborations, the City of Los Angeles should coordinate outreach and public education campaigns regarding emergency preparedness so that effectiveness can be maximized.

  The Homeland Security grant administration processes have inefficiencies that impact program timeliness and effectiveness

Administration of a grant as large and complex as those provided through the Urban Area Security Initiative (UASI) is technically demanding and time consuming. Nonetheless, the administrative processes associated with these grants should be conducted as efficiently as possible, while still providing sufficient controls over the authorization and expenditure of funds. Failure to do so may unreasonably delay the execution of the grant program and place significant grant resources at risk.

Changes implemented by HSPS have not yet resulted in the substantial improvement in grant administration, especially those which are required for grant acceptance on behalf of City departments. Other improvements could be implemented, and the Administrative Code could be revised to streamline the process without compromising the Council’s policy and oversight roles. For example, certain administrative processes presently performed by the Mayor’s Office could be assigned to departments and the grants ordinance could be modified to provide certain delegated authorities to the Mayor.

  The Emergency Management Department does not perform substantial Homeland Security grant monitoring or program evaluation functions

Although the Homeland Security grant policy function is appropriately located in the office of the Mayor, the program and fiscal management of these grants reveal fiscal, grant and program management weaknesses that have a negative impact on the efficient use of grant funding and achievement of grant program goals and objectives. The responsibility to monitor and evaluate the effectiveness of Homeland Security grant programs should be assigned to EMD, to ensure grant activities are fully integrated with the emergency management goals of the City, defined through a recommended strategic planning process.

  Mechanisms have not been developed for ensuring that Homeland Security grant activities can be sustained and cost impacts are known

Homeland Security grant applications have not required a match, but will likely be required in the future. However, the City does not presently calculate discretionary fund contributions that grant funded activities require. Therefore, the City cannot easily identify resources that could be provided as matching contributions or estimate the cost to maintain grant funded activities in the event funding decreases. No City department or office is clearly responsible for determining the current or future General Fund obligation implied by acceptance of these grant funds.

The CAO’s fiscal impact analysis of UASI funding has to date been limited to implications for funding within the grant period. Its reports enumerate and summarize current positions funded with grant funds, but do not provide a separate calculation of the City resources that will be necessary on a recurring yearly basis to sustain all grant funded activities, if UASI funds decline or if a matching requirement is required. Acceptance of these grant awards takes almost a year, which leaves little time for the CAO to conduct a full analysis of the fiscal impact beyond the grant period and inhibits the City Council from requiring that this analysis be conducted.

  Control procedures do not provide sufficient assurances that Emergency Operations Fund expenditures are consistent with intended purposes

The Emergency Operations Fund (EOF) budget provides specific resources to assist various City departments within the Emergency Operations Organization to prepare for, respond to, mitigate, or recover from local emergencies such as terrorist attacks, earthquakes, fires, and other disasters. Currently, City departments use the EOF as a source of funds for various types of emergency preparedness-related expenses, including travel, training, equipment items, public outreach, supplies, and contractual services. A review of EOF charges found that some items charged against this special fund may not meet the intended purpose of the fund, including food catering expenses for events, monthly cable service fees, and software renewal fees. Establishing and actively implementing EOF policies and procedures are necessary in order to ensure the appropriateness and accountability of all projects and efforts that are funded through the EOF. In addition, the City should ensure that a portion of the annual EOF balance is set-aside as contingency to be used during a disaster or an emergency situation, when emergency funds are most needed.

  Progress implementing recommendations from a 2006 National Peer Review of the City’s emergency planning has been slow or stalled in some cases

Although substantial progress has been made in some areas, the City has not successfully implemented many recommendations for improvement that were identified as a result of a substantial evaluation effort made in 2006. Recommendations have not been implemented for a variety of reasons, including lack of a strategic direction from City officials and clear authorities for EMD, weaknesses in centralized planning and management, an ineffective system for collaborating with external entities at the policy level, as well as other factors.

For example, the National Peer Review noted that plans do not incorporate private sector capabilities and resources into the City’s emergency response and recovery strategy. During interviews, EMD staff confirmed that there has been minimal work with the private sector in this regard. Further, information from the Business and Industry Council for Emergency Planning and Preparedness (BICEPP) demonstrated that there has been little progress toward identifying private sector resources that could be made available during an emergency. Other research conducted for this audit confirmed that limited efforts have been made to formally incorporate non-profit resources into the City’s response infrastructure. In one significant instance, the City has not entered into formal agreements with the Greater Los Angeles American Red Cross that define City and Red Cross responsibilities in the event of an emergency or disaster.

Review of Report

On June 23, 2008, a draft report was provided to the management of the Mayor’s Office of Homeland Security and Public Safety and the Emergency Management Department for review. Exit conferences were held with both departments on June 27, 2008 to discuss the contents of the report. The departments indicated general concurrence with the findings and recommendations. We considered the department’s comments before finalizing the report.

Harvey M. Rose Associates, LLC would like to thank the management and staff from the many departments that participated in this performance audit.

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Table of Recommendations
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Recommendations
Page
Reference
Section 1: Strategic Planning
1-1
The Mayor should:

1.1 Seek modifications to the Administrative Code to designate the Emergency Management Department as the strategic planning coordinating entity, charged with supporting the EOB and coordinating the involvement of City departments with its development and maintenance.

1.2 Seek modifications to the Administrative Code to require EOO member departments, through the EOB, to perform an annual update to the strategic plan that would be submitted to the Mayor and City Council for review and approval on a calendar year basis.

1.3 Direct the EOO, through the EOB, to initiate a strategic planning process that integrates locally defined priorities, goals, objectives and strategies with:

a) Federal and State mandates, defined by the federal Department of Homeland Security, the State Office of Emergency Services and other departmental oversight bodies and partners;

b) National Incident Management System and Standardized Emergency Management System standards and requirements; and,

c) UASI, SHSGP and other homeland security and disaster preparedness grant programs.

1.4 Ensure that the strategic planning process appropriately addresses community preparedness with the locally defined priorities of City departments.

1.5 Integrate the goals, objectives and strategies defined by the strategic plan into the annual City budget process, along with the UASI and SHSGP grant application processes.
Section 2: Emergency Operations Organization Structure
2-1
The Mayor should:

2.1 Seek modifications to the Administrative Code to:

a) Elevate the role of the Fire Chief and the General Manager of the EMD on the Emergency Operations Board;

b) Establish an EOB Executive Committee consisting of the Police Chief, Fire Chief and EMD General Manager, with rotating responsibilities as the EOB chair; and,

c) Assign specific responsibilities to the EOB, under the authority of the Executive Committee, such as directing activities related to the development and ongoing maintenance of a strategic plan, evaluating staffing and resource allocation requests for emergency management services across all City departments, also providing recommendations to the Mayor regarding UASI and other major homeland security and disaster assistance grant programs, and directing the emergency planning and disaster preparedness activities of the departments.

2.2 Request the CAO to update its evaluation of the EMD reorganization plan with a goal toward stabilizing staffing.

2.3 Request the CAO to develop a profile of all dedicated emergency planning and disaster preparedness resources in the City departments, linked to the scope of responsibilities assigned to each. Use the information to assign dedicated staff to EMD and City departments in a manner that more closely aligns with priorities and responsibilities.
Section 3: Emergency Preparedness Planning Efforts
3-1
The Emergency Management Department should:

3.1 Maintain an up-to-date and complete master list of all completed and planned emergency plans (e.g., Departmental Plans, Master Plan Annexes, and Division Plans). At minimum, this master list should be:

a) Inclusive of detailed information such as the plan’s last revision date, next revision date, and contact name and information;

b) Revised on an on-going and as-needed basis throughout the calendar year;

c) Readily available from the Emergency Management Department; and

d) Used by the City as a tool for emergency management strategic planning.

3.2 Establish and implement clear policies and procedures that ensure the systematic and on-going review by Emergency Management Department staff of all emergency plans. At minimum, these policies and procedures should include:

a) Procedures for systematically reviewing plans for timeliness, completeness, consistency with existing guidelines, and overall quality and usefulness;

b) A system that holds Emergency Management Department staff accountable for conducting and documenting such emergency plan reviews on a regular basis; and

c) A system that assigns specific Emergency Management Department staff with oversight of and responsibility for tracking and monitoring emergency plans for a group of City departments.

3.3 In collaboration with the Mayor and other City departments, establish and implement policies and procedures that provide clear, practical, and proactive guidelines to facilitate collaboration and communication (i.e., beyond the Emergency Operations Board structure) between Emergency Management Department staff and other City departmental staff in drafting, revising, and reviewing emergency plans on an ongoing basis.

3.4 Regularly revise its “Guidelines for Department Emergency Plans” to include all relevant and up-to-date standards and protocols (e.g., NIMS requirements).

3.5 Proactively communicate and explain the Emergency Management Department’s “Guidelines for Department Emergency Plans” to City department staff to ensure consistency, clarity, and usefulness of all emergency plans.

3.6 Establish and implement a systematic approach for ensuring that the emergency plans are effective and useful during an emergency or disaster situation. At minimum, this process should include:

a) Establishing a requirement for City departments to provide consistent and detailed information on departmental staff’s emergency training and exercise needs, requirements and plans as part of the departmental emergency plans;

b) When applicable, incorporating the corrective actions and recommendations that are included in After Action Reports into appropriate emergency plans; and

c) Conducting systematic and on-going assessments of all emergency plans for their overall quality and usefulness.

3.7 Lead the effort to ensure that all City departments’ emergency plans and efforts comply with relevant standards and guidelines, including those pertaining to COOP/COG and NIMS guidelines and provisions. At a minimum, EMD should ensure that:

a) The formal review of the departmental emergency plans' compliance with the standard elements of the Continuity of Operations (COOP) and Continuity of Government (COG) planning guidelines is completed and that the results are implemented;

b) Relevant City departmental emergency plans comply with appropriate COOP/COG standards; and

c) All recommendations contained in the report provided by ICF International to the City regarding NIMS compliance are implemented.
Section 4: Emergency Exercises and Training
4-1
The Emergency Management Department, in collaboration with other City departments, should:

4.1 Establish and maintain a central database containing all emergency preparedness-related exercises, including all department-specific exercises, that City staff have participated in. At a minimum, this database should include the following:

a) Exercise title;

b) Exercise type (e.g., tabletop, full-scale, functional, etc.);

c) Exercise date(s);

d) Exercise location;

e) Exercise description/scenario;

f) Exercise’s lead entity/organizer;

g) Exercise contact information; and

h) Information that indicates whether an after action report exists for the exercise, and if so, a link to the final after action report.

4.2 Establish and maintain a central database containing all emergency preparedness-related training, including all department-specific training and those that are non-EOF funded, that City staff have participated in. At a minimum, this database should include the following:

a) Training title;

b) Training date(s);

c) Training type (e.g., NIMS-requirement, department-specific, etc.);

d) Training location;

e) Training description/scenario, including the training goals and objectives and how these goals and objectives relate to the City’s overall exercise/training priorities;

f) Total number of participants (including a breakdown of City employees vs. non-City employees);

g) Training lead entity/organizer.

4.3 Revise the exercises and training master lists to ensure their completeness
and accuracy on an on-going basis.

4.4 Use the exercise and training master lists as a key tool in its emergency management strategic planning.

4.5 Identify the gaps and deficiencies in the City’s emergency exercise plans on an ongoing basis.

4.6 Conduct a formal assessment of the emergency exercise needs of City staff on an ongoing basis.

4.7 Identify the gaps and deficiencies in the City’s emergency training plans on an ongoing basis.

4.8 Conduct a formal assessment of the emergency training needs of City staff on an ongoing basis.

4.9 Revise the City Master Plan’s Training Annex to reflect current training requirements and standards.

4.10 Ensure that exercise and training functions and activities are not duplicated or overlapping, that specific gaps are addressed, and that activities are modified or enhanced, accordingly.

The Mayor should:

4.11 As part of the strategic planning efforts, work with the Emergency Operations Board and the Emergency Management Department in drafting and implementing a multi-year exercise and training plan/program to provide a roadmap for the City in accomplishing its emergency preparedness priorities.

4.12 Ensure that the multi-year exercise and training plan/program is a living document that is updated and refined annually.

4.13 Ensure that the exercise and training plan/program includes a multi-year training and exercise schedule that represents natural progression of training and exercises that should take place.
Section 5: After Action Reporting and Corrective Actions
5-1
The Emergency Operations Organization should:

5.1 Establish formal policies and procedures that require the full completion of an After Action Report and Improvement Plan after each exercise. At minimum, these policies and procedures should:

a) Require the completion of AARs and improvement plans for all emergency exercises (i.e., for both discussion-based and operationsbased exercises) in the City;

b) Identify the specific parties or agencies responsible for the drafting, completion, and finalizing of the AARs;

c) Explicitly specify when (e.g., after 30 days) an after action report and improvement plan should be completed and submitted to the Emergency Operations Board; and,

d) Require that the Emergency Management Department work with other City departments to compile and maintain a comprehensive list of after action reports.

5.2 Ensure the quality and completeness of each AAR/IP by:

a) Establishing a standard format to be followed when drafting After Action Reports. In doing so, The EOB should consider using the standard format suggested by the U.S. Department of Homeland Security’s Exercise and Evaluation Program (HSEEP); and

b) Making the Improvement Plan Matrix a mandatory component of each AAR. At minimum, this Improvement Plan Matrix should include specific tasks, recommendations, improvement actions, the party/agency responsible for the implementation of the recommendations, and a full implementation date.

5.3 Establish a formal accountability mechanism for prioritizing, tracking, monitoring, and following-up on the implementation status of all corrective actions and areas for improvement that are identified in each AAR. Such a process should include:

a) Establishing a master database containing all recommendations, improvement actions, the party/agency responsible for the implementation, and a full implementation date;

b) Identifying the party/agency responsible for monitoring and following-up on the implementation status of all corrective actions and areas for improvement; and,

c) Requiring relevant parties/agencies to provide formal reports on the implementation status of pending corrective actions and areas for improvement on an ongoing basis.
Section 6: External Collaborations
6-1
The Mayor should seek to:

6.1 Modify the Administrative Code to require that other public, business and non-profit leaders in the emergency management field be integrated into the Emergency Operations Board through a Disaster Council structure, so that information is consistently shared with all players.

6.2 Modify the Administrative Code to designate the Emergency Management Department as the lead agency for community preparedness responsibilities, to insure a continuing collaborative approach among departments and other partners.

The Emergency Management Department should:

6.3 Identify emergency preparedness public outreach and training programs and collaboratively work with City departments, County agencies, business groups and nonprofit organizations to coordinate participant groups, outreach strategies, training content and curriculum, calendars and locations of events.

6.4 As part of the strategic planning process, described in Section 1 of this report, (a) identify specifically how other public agencies, private businesses and nonprofit organizations can be systematically included in the emergency planning and preparedness in Los Angeles, and (b) address the goals and objectives for emergency preparedness and response for the special needs population, in order to identify short and long-term coordinated strategies for achieving these objectives.

6.5 Develop mutual public campaigns with other public agencies, nonprofit organizations and businesses to insure consistent emergency preparedness messages are disseminated which will maximize the limited resources and the effectiveness of such preparedness campaigns.

6.6 Work with the City Attorney and other relevant City departments (e.g., Recreation and Park Department) to develop Memorandum of Understanding (MOUs) with key external participants, such as the American Red Cross, to clarify general and specific responsibilities in emergency preparedness, training, response and recovery.

6.7 Develop an inventory of outside organizations and contact persons with whom the City and the Emergency Management Department maintains ongoing emergency relations. Initially review to insure that all major sectors of the private economy and non-profit organizations are included and annually contact individuals to maintain an updated, emergency list.

6.8 Develop guidelines and standards for City departments to include contingency plans for activating private resources in the event of a disaster or emergency, as required by the City’s Emergency Operations Plan. Annually review such City department plans to ensure that their private sector contingency plans are incorporated, and consistent with the City’s Emergency Operations Plan.
Section 7: Grant Administration
7-1
The Mayor should, subject to legal counsel received from the City Attorney, seek to:

7.1 Amend the Administrative Code to provide the City Council with the authority to delegate authority to the Mayor’s Office and, as appropriate, to departments to enter into UASI sub-recipient agreements and vendor contracts, subject to the parameters defined in the grant award and other general restrictions defined in law.

7.2 Amend the Administrative Code to permit modifications of homeland security grants by the CAO which entail minor changes in approach or City entity and by the Mayor’s Office for changes in jurisdiction, investment justification, solution area or financial years up to an appropriate amount.

The City Council should:

7.3 Require the CLA and CAO to report to the Council on the Investment Justification decisions made by the Approval Authority at the beginning of the UASI grant process, and at the project selection stage prior to submission of the projects to the state OHS, and to provide a quarterly summary report of UASI project modifications, focused on changes between investment justifications, solution areas or jurisdictions.

7.4 Consider establishing a grant committee, or a special joint committee with representatives from Budget and Finance, Personnel and Public Safety, to expedite consideration of the UASI grant award, consistent with recommendations made by the City Controller in her December 2007 report on City grant processes.

7.5 Require a full report from responsible City officials on actions taken using delegated authority at six month and 12 month intervals after acceptance of the grant, to ensure consistency with the Council’s intentions.

The Mayor should:

7.6 Continue to begin collecting implementation plans, budgets, necessary contractual and personnel authorizations when the UASI projects are initially selected.

7.7 Expedite the implementation of the UASI grant by requesting contract and personnel approvals as they are completed rather than waiting for the entire package to be finalized, and/or requesting approval authority to execute sub recipient agreements, vendor contracts and personnel transactions, subject to restrictions defined by the approved award and the Administrative Code.

7.8 Develop a summary management report of significant modifications in grant usage for periodic presentation to the City Council.

7.9 Utilize the list of projects originally requested through the Approval Authority but not funded as a starting point for replacement projects when originally funded projects become infeasible. Require subrecipients to identify projects unlikely to be completed earlier in the funding cycle.
Section 8: Grant Management Structure
8-1
The Mayor should:

8.1 Prioritize program management. Assign the responsibility to monitor and evaluate outcomes of programs funded by the UASI and SHSGP grant programs to EMD, to ensure grant activities are fully integrated with the defined emergency management goals of the City.

8.2 Structure and staff the grants administrative function with consideration toward the continuity and development of expertise in City financial processes that would carry on regardless of changes in mayoral administrations.

8.3 Develop performance standards for evaluating the efficiency of financial management of these grant funds. Efficiency outcomes should be continuously monitored, and if they are not met, consider transferring the UASI and SHSGP financial management functions to another City department with experience administering multiple streams of complex funding involving multiple stakeholders
Section 9: Sustaining Commitments to Grant Activities
9-1
The Mayor should:

9.1 Assign responsibility for assessing the ongoing commitments by the City that are not funded by the UASI or SHSGP grants but result from grant activities to the Emergency Management Department, in coordination with the CAO providing supporting fiscal analysis.

9.2 Assign routine analysis of general fund and proprietary fund monies necessary to sustain or complete emergency preparedness and homeland security projects to the Emergency Management Department in coordination with the CAO.

9.3 Assign the Emergency Management Department with the responsibility to assess general fund or proprietary fund amounts necessary, if the federal Department of Homeland Security requires a 25% match for the UASI grant, in coordination with the CAO.

9.4 Direct the CAO to study the feasibility of programming UASI and SHSGP funding in the City budget, with direction to avoid supplantation of existing general funds with grant funds.
Section 10: Emergency Operations Fund
10-1
The Mayor should seek to:

10.1 Revise Section 8.72 of the Los Angeles Administrative Code to:

a) Provide a clearer description of the Emergency Operations Fund’s purpose and intended uses; and

b) Require that a portion of the annual EOF balance is reserved as contingency to be used during a disaster or an emergency situation.

The Emergency Management Department and the Emergency Operations Organization should strengthen EOF’s oversight and internal controls by
:

10.2 Establishing and implementing policies and procedures specifically for the administration and management of the Emergency Operations Fund that would ensure sufficient fund oversight and accountability. At a minimum, these policies and procedures should:

a) Consistent with the revision to the Administrative Code (see recommendation 10.1.a), provide clear descriptions of allowable/not allowable expenditure items to be charged against the EOF;

b) Establish standardized procedures and a list of required documentation (e.g., statement of compliance with the EOF budget policy, discussion of why the item is being requested through the EOO rather than departmental budget, detailed description of the requested item, etc.) for City departments as part of the EOF funding application/request process;

c) Establish standardized procedures for reviewing EOF funding requests, including establishing clear, relevant, and up-to-date criteria as part of the EOF funding request review and approval process;

d) Include provisions to centrally, formally, and regularly maintain an up-to-date inventory of all emergency preparedness-related equipment, devices, and supplies purchased by City departments through the EOF;

e) Establish a system that would ensure that charges made against the EOF allocation are appropriate and that an audit of the EOF is conducted on a regular basis to ensure proper fund use;

f) Include provisions that an external entity (e.g., the Controller’s Office) may conduct a regular compliance review or audit of the EOF and that the results of this review or audit are made public; and,

g) Include provisions that these policies and procedures will be revised as frequently as necessary to reflect all relevant and up-to-date guidelines.
Section 11: National Peer Review
11-1
The Mayor should:

11.1 Direct the Emergency Operations Board to adopt a plan for implementing National Peer Review recommendations.

11.2 Ensure that the plan includes a report on implementation status for each identified deficiency and recommendations for the specific corrective action to be employed by the City, with estimates of costs that might impact implementation success.

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Controller Laura Chick's full 188 page Disaster Preparedness Report can be accessed on her web-site at www.lacity.org/ctr