COUNTY OF LOS ANGELES DEPARTMENT OF AUDITOR-CONTROLLER
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1 COUNTY OF LOS ANGELES DEPARTMENT OF AUDITOR-CONTROLLER J. TYLER McCAULEY AUDITOR-CONTROLLER KENNETH HAHN HALL OF ADMINISTRATION 500 WEST TEMPLE STREET, ROOM 525 LOS ANGELES, CALIFORNIA PHONE: (213) FAX: (213) September 20, 2005 TO: FROM: SUBJECT: Supervisor Gloria Molina, Chair Supervisor Yvonne B. Burke Supervisor Zev Yaroslavsky Supervisor Don Knabe Supervisor Michael D. Antonovich J. Tyler McCauley Auditor-Controller EL NIDO FAMILY CENTERS CONTRACT REVIEW CAL-LEARN CASE MANAGEMENT SERVICES We have completed a contract compliance review of El Nido Family Centers (El Nido or Agency), a Cal-Learn Case Management Service contractor. The review was conducted by the Auditor-Controller s Countywide Contract Monitoring Division. Background The Department of Public Social Services (DPSS) contracts with El Nido, a non-profit, community based organization that assists teen parents in completing their high school education. The Agency s services include recruiting and enrolling eligible participants, identifying unmet supportive services needs, and providing ongoing counseling and monitoring of participants progress in the program. The Agency also develops comprehensive case plans to assist participants in completing their high school education. The Agency is located in the Third District. DPSS pays El Nido a fixed rate of $161 per case per month. For Fiscal Year , DPSS paid the Agency approximately $2.5 million. Purpose/Methodology The purpose of the review was to determine whether El Nido provided the services outlined in their Program Statement and County contract. We also evaluated the To Enrich Lives Through Effective and Caring Service
2 Board of Supervisors September 20, 2005 Page 2 Agency s ability to achieve planned services and staffing levels. Our monitoring visit included a review of the Agency s billing statements, case files, time records and performance outcome measures. In addition, we interviewed the Agency s staff and program participants. of Review Generally, El Nido provided the services required by the County contract using the appropriate number of staff. In addition, El Nido staff met the qualifications required by the County contract. The program participants stated that the services they received from the Agency met their expectations. El Nido also met their performance outcome standards required per the County contract. El Nido did not always meet with the participants on a quarterly basis as required by the County contract. Two (10%) of the 21 participants interviewed stated that El Nido did not meet with them during the third quarter of the Calendar Year In one instance, the participant s case file contained documentation with the participant s signature indicating that El Nido staff had met with the participant during the third quarter of 2004 (as required). However, the participant stated during our interview that she did not attend the quarterly meeting and that the signature on the documentation was not her signature. According to El Nido, the participant attended the meeting and the staff signed the plan for the participant. El Nido management needs to ensure that staff meet with the participants on a quarterly basis and obtain the participants signature on the case plan. The details of our contract compliance review are attached. Review of Report On July 20, 2005, we discussed our report with El Nido who concurred with our report. In their attached response, El Nido Family Centers management indicates agreement with our report. We also notified DPSS of the results of our review. We thank El Nido Family Centers for their cooperation and assistance during this review. Please call me if you have any questions, or your staff may contact Don Chadwick at (626) JTM:MMO:DC Attachment c: David E. Janssen, Chief Administrative Officer Bryce Yokomizo, Director, Department of Public Social Services Vicki Carnes, Associate Director, El Nido Family Centers Public Information Office Audit Committee
3 COUNTYWIDE CONTRACT MONITORING DIVISION CAL-LEARN CASE MANAGEMENT SERVICES FISCAL YEAR EL NIDO FAMILY CENTERS BILLED SERVICES/CLIENT VERIFICATION Determine whether El Nido Family Centers (El Nido or Agency) provided the services billed in accordance with their County contract and the program participants actually received those services. In addition, determine the program participants eligibility to receive program services. We selected 10 program participant case files and reviewed the documentation contained in the case files to support the participants eligibility for program services and the Agency s compliance with the County contract. We also interviewed 21 program participants. Our sample represents $13,516 out of a total of $731,980 that El Nido billed the Department of Public Social Services (DPSS) for July, August, September and October Generally, El Nido provided counseling services and appropriately identified the participants unmet needs as required by the County contract. All 10 participant case files sampled contained documentation to support participants eligibility for program services. In addition, the 21 participants interviewed stated that the services they received met their expectations. El Nido did not always meet with the participants on a quarterly basis to discuss the participants progress in completing their case plans as required by the County contract. Two (10%) of the 21 participants interviewed stated that El Nido did not meet with them during the third quarter of Calendar Year In one instance, the participant s case file contained documentation with the participant s signature indicating that El Nido staff had met with the participants during the third quarter of 2004 (as required). However, the participant stated during our interview that she did not attend the quarterly meeting and that the signature on the plan was not her signature. According to El Nido, the participant attended the meeting and the staff signed the plan for the participant. El Nido management needs to ensure that staff meet with the participants on a quarterly basis and obtain the participants signature on the case plan. AUDITOR-CONTROLLER COUNTY OF LOS ANGELES
4 El Nido Family Centers Page 2 Recommendations El Nido management ensure that staff: 1. Meet with the participants on a quarterly basis. 2. Obtain the participants signature on the case plan. PERFORMANCE OUTCOME MEASURES Determine whether El Nido met the performance outcome standards required per the County contract. The acceptable outcome standards require that 55% of the participants are enrolled in school and 45% of the students provide a report card. In addition, 40% of the students must complete their high school education. We reviewed El Nido s semi-annual and annual Performance Measure Reports for the period December 1, 2003 through November 30, 2004 to ensure the Agency s compliance with the County contract. El Nido met their performance outcome standards required per the County contract. For the review period, 69% of all participants were enrolled in school and 55% of all participants enrolled in school provided timely report cards. In addition, 41% of the participants in school completed their high school education. Recommendation There are no recommendations for this section. SERVICE/STAFFING LEVELS Determine whether El Nido s actual service and staffing levels did not significantly vary from planned levels.
5 El Nido Family Centers Page 3 We reviewed invoices for July, August, September and October 2004 and compared them to the Agency s proposed service level for the same period. We also interviewed 20 of El Nido s staff and reviewed El Nido s employee roster. For July, August, September and October 2004, El Nido s reported service level averaged 1,137 participant cases per month. This represented a decrease of 30% from the budgeted participant service level per month of 1,600. The decrease was due to a reduction in the number of cases referred to the Agency by DPSS. For the same period, the Agency reduced their actual staffing level to 35 full time equivalent (FTE) staff which is 40% below the planned staffing level of 58 FTE staff. El Nido indicated that they monitor their staffing level to be consistent with the changes in the service level. Recommendation There are no recommendations for this section. STAFFING QUALIFICATIONS Determine whether El Nido s staff met the qualifications for employment as requested by the County contract. We reviewed the personnel files for six of the 20 program staff for documentation to confirm staff qualifications. Each staff reviewed met the required education and work experience qualifications. In addition, each staff met the bilingual requirement and received the appropriate background checks. Recommendation There are no recommendations for this section.
6 ATTACHMENT I
NURSING MANAGEMENT PAY PLAN (ALL SUPERVISORIAL DISTRICTS) (3 VOTES)
WILLIAM T FUJIOKA Chief Executive Offcer County of Los Angeles CHIEF EXECUTIVE OFFICE Kenneth Hahn Hall of Administration 500 West Temple Street, Room 713, Los Angeles, California 90012 (213) 974-1101
COUNTY OF LOS ANGELES DEPARTMENT OF AUDITOR-CONTROLLER
DEPARTMENT OF J. TYLER McCAULEY KENNETH HAHN HALL OF ADMINISTRATION 500 WEST TEMPLE STREET, ROOM 525 LOS ANGELES, CALIFORNIA 90012-2766 PHONE: (213) 974-8301 FAX: (213) 626-5427 July 8, 2003 TO: FROM:
COUNTY OF LOS ANGELES DEPARTMENT OF AUDITOR-CONTROLLER
WENDY L. WATANABE AUDITOR-CONTROLLER MARIA M. OMS CHIEF DEPUTY DEPARTMENT OF AUDITOR-CONTROLLER KENNETH HAHN HALL OF ADMINISTRATION 500 WEST TEMPLE STREET, ROOM 525 LOS ANGELES, CALIFORNIA 90012-3873 PHONE:
httpjlceo.lacounty.gov
WILLIAM T FUJIOKA Chief Executive Offcer County of Los Angeles CHIEF EXECUTIVE OFFICE Kenneth Hahn Hall of Administration 500 West Temple Street, Room 713, Los Angeles, California 90012 (213) 974-1101
County of Los Angeles
,: " WILLIAM T FUJIOKA Chief Executive Officer The Honorable Board of Supervisors County of Los Angeles 383 Kenneth Hahn Hall of Administration 500 West Temple Street Los Angeles, CA 90012 Dear Supervisors:
County of Los Angeles CHIEF EXECUTIVE OFFICE 713 KENNETH HAHN HALL OF ADMINISTRATION LOS ANGELES. CALIFORNIA 90012 (213) 974-1101
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