REPORT DIGEST DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION COMPLIANCE EXAMINATION FOR THE TWO YEARS ENDED JUNE 30, 2020 Release Date:  May 11, 2021 FINDINGS THIS AUDIT:  14 CATEGORY:  NEW -- REPEAT -- TOTAL Category 1:  0 -- 1 -- 1 Category 2:  8 -- 5 -- 13 Category 3:  0 -- 0 -- 0 TOTAL:  8 -- 6 -- 14 FINDINGS LAST AUDIT: 14 Category 1: Findings that are material weaknesses in internal control and/or a qualification on compliance with State laws and regulations (material noncompliance). Category 2: Findings that are significant deficiencies in internal control and noncompliance with State laws and regulations. Category 3: Findings that have no internal control issues but are in noncompliance with State laws and regulations. State of Illinois, Office of the Auditor General FRANK J. MAUTINO, 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 SYNOPSIS • (20-001) The Illinois Department of Financial and Professional Regulation (Department) failed to adhere to provisions of the Fiscal Control and Internal Auditing Act (Act). • (20-005) The Department did not timely complete employee performance evaluations. • (20-013) The Department did not maintain adequate internal controls related to its cybersecurity programs and practices. FINDINGS, CONCLUSIONS, AND RECOMMENDATIONS INADEQUATE INTERNAL AUDIT FUNCTION The Illinois Department of Financial and Professional Regulation (Department) failed to adhere to provisions of the Fiscal Control and Internal Auditing Act (Act). During testing, we noted the following: • The Department’s Secretary has not appointed an individual to fill the Department’s chief internal auditor position. This position was vacated on July 1, 2016, 1,460 days prior to the end of the examination period on June 30, 2020. • The Department and CMS did not obtain the Governor’s approval for CMS to provide professional internal auditing services to the Department. • While  testing  the  Expenses  and Support  Cost  section  of  the intergovernmental agreement, effective April 1, 2018, between the Department and CMS, we requested the Department provide us with sufficient and appropriate audit evidence related to costs of the Department’s internal audit function from July 1, 2018, through June 30, 2020.  We requested the documentation to substantiate (1) the authorization of CMS to use the Department’s appropriation for processing payroll as allowed for under the intergovernmental agreement, and (2) CMS only charged the Department for payroll services  of  CMS  internal auditors  who  provided  internal  audit functions  to  the Department.  The Department was unable to provide us with the documentation requested. Specifically, we noted the following: – In response to our requests, Department management indicated CMS does not bill the Department for its internal audit services and related assistance. The Department’s specific costs for its professional internal audit services are not being tracked. As a result, we were unable to audit the cost of the Department’s internal audit function to ensure the Department is accurately reimbursing CMS payroll costs as stipulated by the intergovernmental agreement. – Also, the Department granted CMS authorization through its intergovernmental agreement to charge the Department’s appropriations for payroll costs associated with CMS’ rendering of professional internal audit services to the Department; however, as indicated by the Department in its response to our requests, it is not the Department’s nor CMS’ intent to process any vouchers against the Department’s appropriations. As a result, we believe there is a significant internal control risk with potentially delegating a State’s appropriation authority unnecessarily. Although this did not occur during the examination period, there is still a potential risk that exists due to the intergovernmental agreement not being modified. (Finding 1, pages 13-16) We recommended: • The Department’s Secretary appoint a chief internal auditor and ensure a full- time program of internal auditing is in place and functioning at the Department. • If another agency is to be relied upon to supplement internal audit functions at the Department, the Department should obtain written approval of the Governor for these services  and  ensure  such services  are  provided  in  accordance with  the  Act’s requirements. • The  Department  implement  policies and  procedures  to  track  internal audit  costs, maintain documentation which adequately documents the costs of the Department’s internal audit function, and ensure other agencies providing services to the Department are only reimbursed for allowable costs. • Finally,  the  Department  should  not grant  another  agency  the  authority to  process payroll    against    the Department’s    appropriations unnecessarily    or    without implementing and documenting proper controls. Department management accepted our recommendation and stated the Department intends to continue its search for a Chief Internal Auditor. Department management also stated that since working with the Department of Central Management Services, the Department has conducted annual Department-wide risk assessments, approved annual audit plans, received annual reports detailing the performance by the internal audit team, and conducted/filed internal control checklists timely. EMPLOYEE PERFORMANCE EVALUATIONS NOT TIMELY COMPLETED The Department of Financial and Professional Regulation (Department) did not timely complete employee performance evaluations. During our testing of 40 employee personnel files, we noted evaluations were not performed on a timely basis for 32 (80% employees tested.  The evaluations were performed from 1 to 404 days late.  (Finding 5, page 23)  This finding has been repeated since 1993. We recommended the Department evaluate its procedures for monitoring performance evaluations to ensure completion on a timely basis. Department management accepted our recommendation. WEAKNESSES IN CYBERSECURITY PROGRAMS AND PRACTICES The Department of Financial and Professional Regulation (Department) did not maintain adequate internal controls related to its cybersecurity programs and practices. During our examination of the Department’s cybersecurity programs and practices, we noted the Department had not: • Ensured cybersecurity roles and responsibilities were documented. • Developed a formal, documented project management framework to ensure new applications are implemented to meet management’s intentions. • Performed a comprehensive risk assessment to identify and ensure adequate protection of information (i.e. confidential or personal information) most susceptible to attack. • Classified its data to identify and ensure adequate protection of information. • Evaluated and implemented appropriate controls to reduce the risk of attack. • Developed a formal, comprehensive, adequate, and communicated security program (policies, procedures, and processes) to manage and monitor the regulatory, legal, environmental and operational requirements. The Department has the responsibility to ensure confidential and personal information is adequately protected. Specifically, we recommend the Department: • Establish and communicate the Department’s security program (formal and comprehensive policies, procedures, and processes) to manage and monitor the regulatory, legal, environmental, and operational requirements; • Develop a formal, documented project management framework to ensure new applications are implemented to meet management’s intentions; • Classify its data to identify and ensure adequate protections of information; • Evaluate and implement appropriate controls to reduce the risk of attack; • Ensure cybersecurity roles and responsibilities are clearly defined; and, • Perform a comprehensive risk assessment to identify and ensure adequate protection of information, including confidential and personal information, most susceptible to attack. Department management accepted our recommendation. OTHER FINDINGS The Department had other findings pertaining to understaffed Boards, compliance with the Savings Bank Act, Agency Workforce Reports, inaccurate lump sum payments, failure to perform timely reconciliations, weaknesses in internal controls over travel, deficiencies in management of returned checks, user access reviews, review of service providers, weaknesses in change management, and weaknesses over ERP implementation.  We will review the Department’s progress towards the implementation of our recommendations in our next compliance examination. ACCOUNTANT’S OPINION The accountants conducted a compliance examination of the Department for the two years ended June 30, 2020, as required by the Illinois State Auditing Act.  The accountants qualified their report on State compliance for Finding 2020-001. Except for the noncompliance described in this finding, the accountants stated the Agency complied, in all material respects, with the requirements described in the report. This compliance examination was conducted by Sikich LLP. JANE CLARK Division Director This report is transmitted in accordance with Section 3-14 of the Illinois State Auditing Act. FRANK J. MAUTINO Auditor General FJM:mrk