Summary
| Report Number: | 2010-037 |
|---|---|
| Report Title: | Agency for Persons with Disabilities - Residential Facility Licensing and Follow-Up on Prior Audit Findings - Operational Audit |
| Report Period: | 07/2007 - 01/2009 and Selected Actions Through March 2009 |
| Release Date: | 10/19/2009 |
This operational audit of the Agency for Persons with Disabilities (Agency) focused on the Agency's residential facility licensing process and tests of expenditures related to two intermediate care facilities managed by the Agency (Sunland Marianna and Tacachale). The audit covered the period July 2007 through January 2009, and selected actions through March 2009, and included a follow-up on prior audit findings. Those matters requiring corrective actions are described below.
Residential Facility Licensing
Finding No. 1: The Agency's facility licensure processes needed improvement, as evidenced by the numerous instances in which residential facilities were not able to provide documentation of staff qualifications and background screenings.
Finding No. 2: The Agency's standard renewal application for residential facilities did not contain some statutorily required elements. In addition, we noted instances in which the standard application form had been modified by Area Offices, and, as a result, the receipt and evaluation of all required facility information was not documented in Agency licensing files.
Finding No. 3: In most cases, Agency residential facility licensing files did not contain documentation of the calculation of the facility's capacity.
Finding No. 4: The Agency had not adopted some of the statutorily required rules relating to the licensing of residential facilities.
Quality Assurance Reviews - Home and Community-Based Services Program
Finding No. 5: Improvements continue to be needed in the timeliness of the Agency's resolution of issues reported in quality assurance reviews of Home and Community-Based Services Program direct service providers and waiver support coordinators. A similar finding was previously included in audit report No. 2008-180.
Management's response is included as Exhibit B.