REPORT DIGEST

 

KILEY DEVELOPMENTAL CENTER

 

LIMITED SCOPE

COMPLIANCE EXAMINATION

For the Two Years Ended:

June 30, 2007

 

Summary of Findings:

 

Total this audit                   4

Total last audit                   4

Repeated from last audit     1

 

 

Release Date:

June 12, 2008

 

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

Attn:  Records Manager

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

 

 

·        The Center had inadequate documentation regarding restraint use.

 

·        The Center’s resident files did not contain all required documentation.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

{Expenditures and Activity Measures are summarized on the reverse page.}

 


KILEY DEVELOPMENTAL CENTER

LIMITED SCOPE COMPLIANCE EXAMINATION

For The Two Years Ended June 30, 2007

 

 

EXPENDITURE STATISTICS

FY 2007

FY 2006

FY 2005

 

 

     Total Expenditures (All Appropriated Funds)

 

$27,902,865

$26,459,372

$27,946,760

 

 

     OPERATIONS TOTAL..................................

         % of Total Expenditures........................

        

         Personal Services...................................

$27,889,365

99.9%

 

$20,674,280

$26,445,872

99.9%

 

$20,148,412

$27,933,260

99.9%

 

$20,218,062

 

 

                % of Operations Expenditures..........

                Average No. of Employees............

                Average Salary Per Employee.......

 

74.1%

385

$53,699

76.2%

407

$49,505

72.4%

411

$49,192

 

 

         Other Payroll Costs (FICA, Retirement)..

                % of Operations Expenditures.......

$3,887,189

13.9%

$3,204,514

12.1%

$4,639,483

16.6%

 

 

 

         Contractual Services...............................

                % of Operations Expenditures.......

     $2,050,633

               7.4%

$1,811,390

               6.9%

$1,909,880

      6.8%

 

 

         Commodities...................................................

                % of Operations Expenditures...................

$1,035,026

3.7%

$1,008,339

3.8%

$964,886

3.5%

 

 

         All Other Items......................................

                % of Operations Expenditures........

 

$242,237

0.9%

$273,217

1.0%

$200,949

0.7%

 

 

     GRANTS TOTAL..........................................

         % of Total Expenditures........................

 

$13,500

0.1%

$13,500

0.1%

$13,500

0.1%

 

 

Cost of Property and Equipment.................

$23,675,241

$23,160,266

$23,108,557

 

 

ELECTED ACTIVITY MEASURES

FY 2007

FY 2006

FY 2005

 

 

     Average Number of Residents..............................

241

254

261

 

 

Ratio of Employees to Residents...........................

Paid Overtime hours & Earned Compensatory Hours.................................................................

Value of Paid Overtime Hours & Earned Compensatory Hours...........................................

1.60/1


158,424

$3,739,572

1.60/1


141,657

$3,168,402

1.57/1


154,690


$3,313,887

 

 

     Cost Per Year Per Resident.................................

*

$135,751

$138,355

 

 

*Department had not calculated at the close of fieldwork.

 

 

 

 

 

FACILITY DIRECTOR

 

 

During Audit Period:  Suzanne McWilliams (7/1/05 to 1/16/07); Vacant (1/17/07 to 5/16/07)

                                     Mr. Waverly Robinson (Acting) (5/17/07 to 6/30/07)

Currently:                       Mr. Waverly Robinson (Acting)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

There was no evidence the Facility Director complied with the Mental Health Code which requires him to review all restraint orders daily

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Some files for discharged residents did not have Notice of Discharge Forms

 

 

 

 

 

 

FINDINGS, CONCLUSIONS, AND RECOMMENDATIONS

 

INADEQUATE DOCUMENTATION REGARDING RESTRAINT USE

 

The Center was not in compliance with the Mental Health and Developmental Disabilities Code regarding the use of restraints.

 

Of 25 files tested, three residents had been restrained during the examination period and the following exceptions noted: 1) the person who orders the use of restraints is required to inform the Director within 24 hours; however, the forms were not dated so the 24 hour requirement could not be verified; 2) there was no evidence the Facility Director complied with the Mental Health Code which requires him to review all restraint orders daily; and 3) once restraint has been employed during one 24 hour period, it shall not be used again on the same recipient during the next 48 hours without prior written authorization of the Facility Director.  However, one of the recipients was restrained during consecutive days without prior written authorization from the Facility Director. (Finding 1, pages 9-10)

 

We recommended documentation regarding restraint use be adequately maintained in accordance with State statute.

 

 Department officials agreed with our recommendation and stated that the use of restraint will be communicated to the Facility Director in writing within 24 hours; a log will be initiated to indicate the Facility Director’s review of restraint orders; and staff will be re-trained in the proper definition and notification of “extended restraint”.

 

INCOMPLETE RESIDENT FILES

 

The Center’s resident files did not contain all required documentation.

 

Our review of 25 resident files disclosed the following exceptions:

 

·        Three of seven files for discharged residents did not have Notice of Discharge Forms on file.

 

 

·        Two of 25 resident files examined either did not contain evidence of a monthly review of the habilitation plan or did not contain a fully completed and up-to-date plan.  (Finding 2, page 11)

 

We recommended Notice of Discharge Forms be maintained and monthly habilitation plans be maintained.

 

Center Officials agreed with our finding and recommendation.

 

 

OTHER FINDINGS

 

        The other findings related to inadequate inventory controls and inadequate monitoring of accounts receivable. We will review progress toward implementing all recommendations in our next examination.

 

AUDITORS’ OPINION

 

        We conducted a compliance examination of the Center as required by the Illinois State Auditing Act.  This was a limited scope compliance examination.  We also performed certain auditing procedures with respect to the accounting records of the Center to assist with the financial audit of the entire Department of Human Services. 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 Martin & Shadid, P.C.