H. Douglas Singer Mental Health and Developmental Center

REPORT DIGEST

H. DOUGLAS SINGER
MENTAL HEALTH AND DEVELOPMENTAL
CENTER

COMPLIANCE AUDIT

For the Two Years Ended:
June 30, 1999

Summary of Findings:

Total this audit 1
Total last audit 0
Repeated from last audit 0

Release Date:
April 6, 2000

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 TDD (217) 524-4646

This Report Digest is also available on
the worldwide web at
http://www.state.il.us/auditor

SYNOPSIS

Center staff did not always obtain required prior written approval from the Center Director before using restraints.

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

H. DOUGLAS SINGER MENTAL HEALTH AND DEVELOPMENTAL CENTER

COMPLIANCE AUDIT

For The Two Years Ended June 30, 1999

EXPENDITURE STATISTICS	FY 1999	FY 1998	FY 1997
Total Expenditures (All Appropriated Funds)	$15,452,125	$14,542,767	$13,586,616
OPERATIONS TOTAL % of Total Expenditures Personal Services	$15,452,125 100% $10,368,332	$14,539,767 99.98% 10,280,689	$13,583,616 99.98% 10,174,354
% of Operations Expenditures Average No. of Employees Average Salary Per Employee	67.1% 267 $38,833	70.7% 262 $39,239	74.9% 269 $37,823
Other Payroll Costs (FICA, Retirement) % of Operations Expenditures	$2,122,592 13.7%	$1,769,204 12.2%	$1,188,462 8.7%
Contractual Services % of Operations Expenditures	$2,301,713 14.9%	$1,798,030 12.4%	$1,662,631 12.2%
Commodities % of Operations Expenditures	$435,677 2.8%	$399,770 2.7%	$388,672 2.9%
All Other Items % of Operations Expenditures	$223,811 1.5%	$292,074 2.0%	$169,497 1.3%
GRANTS TOTAL % of Total Expenditures	$0 0%	$3,000 .02%	$3,000 .02%
Cost of Property and Equipment	$16,193,103	N/A	$16,009,636

SELECTED ACTIVITY MEASURES	FY 1999	FY 1998	FY 1997
Average Number of Residents	117	128	132
Ratio of Employees to Residents	2.28/1	2.05/1	2.04/1
Cost Per Year Per Resident	*	$147,000	$138,165
*The Department had not calculated at the close of fieldwork.

FACILITY DIRECTOR

During Audit Period: Gail Tenant
Currently: Gail Tenant

Center staff did not obtain prior written approval before using restraints twice within a 48 hour period

INTRODUCTION

We conducted a compliance audit of the Center as required by the Illinois State Auditing Act. We also performed certain agreed upon procedures with respect to the accounting records of the Center to assist our single audit of the entire Department. Financial statements for the Department will be presented in that report.

FINDINGS, CONCLUSIONS, AND RECOMMENDATIONS

LACK OF PRIOR WRITTEN APPROVALS BEFORE USING RESTRAINTS

Center staff did not always receive prior written approval from the Center Director to restrain individuals a second time within a 48 hour period.

For the two year audit period, we found 31 of 135 instances of a second restraint for which staff did not obtain prior written approval from the Center Director.

Department of Human Services policies and procedures state that once staff restrain an individual within an initial 16 hour period, they must receive written approval from the Center Director before restraining that person again during the next 48 hour period.

Center management stated the lack of approvals occurred due to an oversight. However, the Center became aware of the problem during the audit period and issued a memo to staff to emphasize compliance with this directive.

We recommended the Center continue to train staff and monitor compliance with Department policies and procedures. Center officials agreed with the recommendation. (Finding 1, page 8)

____________________________________

WILLIAM G. HOLLAND, Auditor General

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SPECIAL ASSISTANT AUDITORS

Our special assistant auditors were Blackman Kallick Bartelstein, LLP.