REPORT DIGEST

 

DEPARTMENT ON

AGING

 

COMPLIANCE EXAMINATION

 

For the Two Years Ended:

June 30, 2008

 

 

Summary of Findings:

Total this audit                      13

Total last audit                      15

Repeated from last audit       12

 

Release Date:

April 21, 2009

 

 

State of Illinois

Office of the Auditor General

WILLIAM G. HOLLAND

AUDITOR GENERAL

 

 

 

To obtain a copy of the Report contact:

Office of the Auditor General

Iles Park Plaza

740 E. Ash Street

Springfield, IL 62703

(217) 782-6046 or TTY (888) 261-2887

 

This Report Digest and Full Report are also available on

the worldwide web at

http://www.auditor.illinois.gov

 

 

 

 

SYNOPSIS

 

¨      The Department failed to implement the provisions of the Community Senior Services and Resources Act.

¨      The Department failed to adopt policies, priorities and guidelines to carry out the purposes of the Illinois Act on Aging in regards to the establishment of specialized Alzheimer’s Day Care Resource Centers.

¨      The Department failed to establish a family caregiver training and support demonstration project as required by the Family Caregiver Act.

 

 

 

 

 

 

 

 

 

 

 

 

        {Expenditures and Activity Measures are summarized on the reverse page.}

 

 

 


DEPARTMENT ON AGING

COMPLIANCE EXAMINATION

For The Two Years Ended June 30, 2008

 

EXPENDITURE STATISTICS

FY 2008

FY 2007

FY 2006

     Total Expenditures (All Funds)..................

$527,210,501

$488,660,867

$420,742,254

          OPERATIONS TOTAL...........................

                % of Total Expenditures....................

           Personal Services...................................

                % of Operations Expenditures............

           Average No. of Employees.....................

           Average Salary Per Employee................

$66,264,499

12.57%

$3,987,740

6.02%

155

$25,727

$67,280,841

13.77%

$4,352,271

6.47%

152.5

$28,539

$62,691,022

14.90%

$4,206,354

6.71%

145.5

$28,910

 

           Other Payroll Costs (FICA, Retirement)..

                % of Operations Expenditures...........

$1,357,323

2.05%

$1,193,306

1.77%

$1,039,513

1.66%

           Contractual Services..............................

                % of Operations Expenditures..........

$491,849

0.74%

$429,803

0.64%

$403,064

0.64%

           Circuit Breaker and Prescription Drug Assistance

                % of Operations Expenditures...........

           All Other Items.....................................

                % of Operations Expenditures..........

$44,094,781

66.54%

$16,332,806

24.65%

$48,207,353

71.65%

$13,098,108

19.47%

$41,579,381

66.32%

$15,462,710

24.67%

         UNAPPROPRIATED EXPENDITURES &

          REFUNDS................................................

                % Of Total Expenditures......................

 

 

$1,918,893

0.36%

 

$1,921,475

0.39%

 

$902,357

0.21%

          GRANTS TOTAL....................................

                % of Total Expenditures.....................

$459,027,109

87.07%

$419,458,551

85.84%

$357,148,875

84.89%

       Cost of Property and Equipment............

$1,905,772

$2,494,519

$2,363,658

 

COMMUNITY CARE PROGRAM (Not Examined)

FY 2008

FY 2007

FY 2006

     CCP Average Monthly Caseload (clients)..............

50,183

45,782

42,964

     Prospective Nursing Home Cases Prescreened......

92,925

88,090

91,782

     Clients Over 75 Living Alone................................

60%

60%

63%

     Average Cost Per Client Per Month.........................

$621

$570

$541

 

The Community Care Program (CCP) provides in-home homemaker and senior companion services, adult day care and case management services to persons aged 60 years and older.  Services are designed to prevent inappropriate or premature institutionalization.

 

AGENCY DIRECTOR

During Audit Period:  Mr. Charles D. Johnson

Currently:  Mr. Charles D. Johnson

 


 

 

 

 

 

 

 

 

 

 

 

 

 

 


Failure to promulgate rules, regulations, guidelines or directives

 

 


Grants have not been made


Bonds have not been issued

 

 

 

 

 

 


Report has not been made to Governor or General Assembly

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Department states they will continue to seek legislative remedy to repeal the Act

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


No policies, priorities or guidelines were adopted as required by the Act

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Law required Department to seek federal funding

 

 

 

 

 

 

 

 

 

 

 

Department sought Legislative remedy to repeal the law

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Department states they will continue to seek legislative remedy

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FINDINGS, CONCLUSIONS, AND RECOMMENDATIONS

 

FAILURE TO IMPLEMENT THE COMMUNITY SENIOR SERVICES AND RESOURCES ACT

 

      The Department failed to implement the provisions of the Community Senior Services and Resources Act (the Act).

 

The Department did establish a Community Senior Services and Resource Center Advisory Committee.  The membership was appointed by the Governor in July 2004.  However, the committee has not met since October 2005.  The Department did not promulgate any rules, regulations, guidelines or directives necessary to implement the Act.  Efforts by the Department to pursue alternative funding from those sources outlined in the legislation to administer the provisions of the Act have been unsuccessful; therefore, no grants have been made, no government bonds have been issued, and technical assistance has not been provided to centers.

 

The Department did develop a survey to gather information from the centers concerning the lack or inadequacy of senior services and to identify service demand trends and unique needs of older Illinoisans and their families.  This survey was last done in 2006.  Although there are various listings of the centers available on the Department’s website that offer certain services, a comprehensive list of centers and the services they provide has not been compiled for distribution through other promotional opportunities.  No report regarding the program has been made to the Governor or the General Assembly.

 

Department officials stated they have been unable to obtain funding to implement the Act due to the expected large cost of surveying all of the Area Agencies on Aging and Senior Centers. Department officials further stated that in the past year they have sought a general revenue appropriation of $250,000 for funding as well as legislative remedy to repeal the act. (Finding 3, pages 13-14)  This finding was first reported in 2004.

 

We recommended the Department fully implement the Community Senior Services and Resources Advisory Act by seeking and obtaining funding to administer the provisions of the Act or to seek legislative remedy to the statutory requirements.  (For the previous Department response, see Digest Footnote #1)

 

Department officials stated they first sought a legislative remedy and then a general revenue fund appropriation, but both efforts were unsuccessful.  For the FY2010 legislative and budget process, the Department will again seek both remedies.

 

 

FAILURE TO ADOPT POLICIES, PRIORITIES AND GUIDELINES

 

The Department failed to adopt policies, priorities and guidelines to carry out the purposes of the Illinois Act on Aging in regards to the establishment of specialized Alzheimer’s Day Care Resource Centers.

 

      The Illinois Act on Aging (20 ILCS 105/8.05(b)) requires the Department to establish at least one urban and one rural specialized Alzheimer’s Day Care Resource Center, to develop a training module for the specialized Alzheimer’s Day Care Centers and to adopt policies, priorities and guidelines to carry out the purposes of this section of the Act.

 

      The Department has established two Alzheimer’s Day Care Resource Centers that aid in the training of specialized Alzheimer’s Day Care Centers and has developed a module to aid in that training.  However, no policies, priorities or guidelines have been adopted in order to carry out the purposes of this section of the Act.

 

      Department officials stated that the Department functioned without a division manager for this responsibility for much of the time under consideration. (Finding 5, page 17)  This finding was first reported in 2004.

 

We recommended the Department adopt the policies, priorities and guidelines needed in order to adequately carry out this section of the Act.

 

Department officials agreed with our finding and recommendation and indicated they are in the process of procuring for assistance to establish the policies, priorities and guidelines in order to be in full compliance.  (For the previous Department response, see Digest Footnote #2)

 

 

FAILURE TO ESTABLISH A FAMILY CAREGIVER TRAINING AND SUPPORT DEMONSTRATION PROJECT

 

      The Department failed to establish a Family Caregiver Training and Support Demonstration Project as required by the Family Caregiver Act (320 ILCS 65/16).

 

      Effective August 5, 2004, the Family Caregiver Act required the Department to seek federal funding in order to establish a Family Caregiver Training and Support Demonstration Project under which two sites would be funded.  The Act requires the Department to adopt rules to govern participation and oversight of the program and to seek technical assistance from Department of Healthcare and Family Services (formerly the Department of Public Aid) and the Department of Human Services.  Finally, the Act requires the Department to assess the program and to advise the Governor and the General Assembly regarding the effectiveness of the program within six months after the conclusion of the demonstration period.

 

      During the two years ended June 30, 2008, the Department did not establish a Family Caregiver Training and Support Demonstration Project as set forth in this statute.  Additionally, no rules were adopted to govern the participation and oversight of the program.  However, the Department stated they have sought legislative remedy by attempting to have this section of the statute repealed.

 

      Department officials stated there were no federal funds available for this particular type of project due to there already being a project that mirrors the one set forth in the statute at the federal level. The federal funding received for the current Caregiver Support Program is through Title III (e) of the Older Americans Act, also know as the “National Family Caregiver Support Program.” Department officials also stated that they felt that the Department was fulfilling the essence of this statute through two Aging and Disability Resource Center sites that the Department has established (Finding 7, page 19)

 

      We recommended the Department comply with the requirements as set forth in the Family Caregiver Act or seek legislative remedy.

 

      Department officials stated that the legislation was passed in anticipation of federal funding, which has not been forthcoming.  Last year the Department sought a legislative remedy with Senate Bill #1432 to amend the Family Caregiver Act by repealing the provision concerning a Family Caregiver Training and Support Demonstration Project.  The Department will continue to seek a legislative remedy to this finding.

 

 

OTHER FINDINGS

 

   The remaining findings are reportedly being given attention by the Department.  We will review the Department’s progress towards the implementation of our recommendations in our next examination.

 

 

AUDITORS’ OPINION

 

      We conducted a compliance examination of the Department as required by the Illinois State Auditing Act.  We have not audited any financial statements of the Department for the purpose of expressing an opinion because the Department does not, nor is it required to, prepare financial statements.

 

 

 

_____________________________________

WILLIAM G. HOLLAND, Auditor General

 WGH:CML:pp

 

 

SPECIAL ASSISTANT AUDITORS

 

      Our Special Assistant Auditors were Doehring, Winders & Co. LLP.

 

DIGEST FOOTNOTES

 

#1:  FAILURE TO IMPLEMENT THE COMMUNITY SENIOR SERVICES AND RESOURCES ACT – Previous Department Response

This past year, the Department sought first a legislative remedy and then a general revenue appropriation in the Department’s FY08 budget submission.  Both efforts were unsuccessful.  For the next legislative year and budget process, the Department will again seek both remedies.  If successful with a legislative remedy, the Department will implement that remedy.  If successful in obtaining a general revenue appropriation, the Department will work with the Community Senior Services and Resources Advisory Committee to implement the necessary rules and procedures to make awards under this Act.

 

#2:  FAILURE TO ADOPT POLICIES, PRIORITIES, AND GUIDELINES FOR ALZHEIMER’S DAY CARE RESOURCE CENTERS – Previous Department Response

The Department will seek the necessary funding and develop and implement policies and procedures to adequately carry out the Act.