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
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ē†††††††††† 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 residentís 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 Directorís 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 residentsí 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 residentís ERR will be maintained.
††††††††††† 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.
††††††††††† 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
SPECIAL ASSISTANT AUDITORS
Our special assistant auditors on this audit were E. C. Ortiz & CO., LLP.