Report 2006-106 Recommendation 12 Responses

Report 2006-106: Department of Health Services: Its Licensing and Certification Division Is Struggling to Meet State and Federal Oversight Requirements for Skilled Nursing Facilities (Release Date: April 2007)

Recommendation #12 To: Health Services, Department of

To ensure that it can adequately justify the expenses it charges to the citation account, Health Services should take steps to gain assurance from temporary management companies that the funds they received were necessary. This should include reviewing the support behind temporary management companies e-mails requesting payments. In addition, Health Services should take steps to expand its pool of qualified temporary management companies to ensure that it has sufficient numbers of temporary management companies available and receives competitive prices. Finally, when Health Services charges general support items to the citation account, it should be able to document its rationale for determining the amounts charged.

Annual Follow-Up Agency Response From January 2011

The Licensing and Certification (L&C) program implemented the recommendation through establishing and executing the attached procedures (Attachment 5, Procedures for Citation Penalty Accounts Expenditure Verification). These measures have ensured that general support items do not erroneously charge to the citation penalty account. L&C Administration Branch developed and disseminated Attachment 5 to L&C Administration staff to ensure proper documentation of charges against the citation penalty account per the bureaus recommendation. (2010-041, p. 52)

California State Auditor's Assessment of Annual Follow-Up Status: Fully Implemented

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All Recommendations in 2006-106

Agency responses received after June 2013 are posted verbatim.