REPORT DIGEST

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.

FY 2006

FY 2006

· 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)

Center Officials agreed with our finding and recommendation.

OTHER FINDINGS

SPECIAL ASSISTANT AUDITORS