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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 Rele April 21, 2009
State of
Office of the Auditor General WILLIAM G. HOLLAND AUDITOR GENERAL
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Report contact:
Office of the Auditor
General
(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
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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
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EXPENDITURE STATISTICS |
FY 2008 |
FY 2007 |
FY 2006 |
|
Total Expenditures (All Funds).................. |
$527,210,501 |
$488,660,867 |
$420,742,254 |
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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 |
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Other Payroll Costs (FICA, Retirement).. % of Operations Expenditures........... |
$1,357,323 2.05% |
$1,193,306 1.77% |
$1,039,513 1.66% |
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Contractual Services.............................. % of Operations Expenditures.......... |
$491,849 0.74% |
$429,803 0.64% |
$403,064 0.64% |
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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% |
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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 |
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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 |
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Clients Over 75 Living Alone................................ |
60% |
60% |
63% |
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Average Cost Per Client Per Month......................... |
$621 |
$570 |
$541 |
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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. |
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AGENCY DIRECTOR |
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During Audit Period: Mr. Charles D. Johnson |
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Currently: Mr. Charles D. Johnson |
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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 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 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. |