REPORT DIGEST

KILEY DEVELOPMENTAL CENTER

LIMITED SCOPE COMPLIANCE EXAMINATION

For the Two Years Ended: June 30, 2009

Summary of Findings:

Total this audit: 3

Total last audit: 4

Repeated from last audit: 2

Release Date: June 29, 2010

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 www.auditor.illinois.gov

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SYNOPSIS

• The Center had inadequate documentation regarding restraint and confinement.

FINDINGS, CONCLUSIONS, AND RECOMMENDATIONS

INADEQUATE DOCUMENTATION REGARDING RESTRAINT AND CONFINEMENT

The Center did not maintain adequate documentation regarding restraint use and actual duration of the resident’s exclusionary required relaxation in accordance the Mental Health and Developmental Disabilities Code.

Our review of 24 restraint records in the 14 resident files tested for FY2008 and 2009 disclosed the following:

- The Facility Director or designee was not informed in writing within 24 hours of restraint use for four of 24 (17%) restraint records tested.

- 12 of 24 (50%) restraint records tested did not have evidence of the Facility Director’s review.

- Two of three (67%) residents restrained during consecutive days did not have prior written authorization from the Facility Director.

In addition, our review of 15 residents subjected to exclusionary required relaxation (ERR) as part of their behavior intervention program revealed that the duration of the ERR for 12 of the 15 (80%) residents was not documented. (Finding 1, pages 9-10)

We recommended the Center maintain adequate documentation regarding restraint use and the duration of residents’ ERR.

Department officials agreed with our recommendation and stated that the Center will retrain staff on the ERR data collection process and that documentation regarding restraint use and duration of resident’s ERR will be maintained.

OTHER FINDINGS

The other findings related to inadequate inventory controls and Notice of Discharge forms not timely provided to residents prior to their discharge date. We will review progress toward implementing all recommendations in our next examination.

AUDITORS’ OPINION

We conducted a compliance attestation examination of the Center as required by the Illinois State Auditing Act. Financial statements for the Department will be presented in that report.

WILLIAM G. HOLLAND, Auditor General

WGH:KMC:drh

SPECIAL ASSISTANT AUDITORS

Our special assistant auditors on this audit were E. C. Ortiz & CO., LLP.