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File #: 18-118    Version: 1 Name: IHSS Audit Response
Type: Report Status: Received and Filed
In control: Health and Social Services
On agenda: 2/27/2018 Final action: 2/27/2018
Title: Accept a Follow-Up Report on the In-Home Supportive Services (IHSS) Program Internal Control Review issued on April 27, 2017
District: All
Attachments: 1. A - Link to IHSS Program Internal Control Review Agenda Item, 2. Minute Order
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Accept a Follow-Up Report on the In-Home Supportive Services (IHSS) Program Internal Control Review issued on April 27, 2017

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Published Notice Required? Yes _____ No __X__
Public Hearing Required? Yes _____ No __X__

DEPARTMENTAL RECOMMENDATION:

The Department of Health & Social Services (H&SS) recommends that the Board accept a Follow-Up Report on the In-Home Supportive Services (IHSS) Program Internal Control Review issued on April 27, 2017.

SUMMARY:

On September 12, 2017, the Board received an Internal Control Review report presented by the Auditor-Controller's Office (ACO) on the In-Home Supportive Services (IHSS) Program. A link to that agenda item is attached.

The objective of the ACO's review was to evaluate the adequacy and effectiveness of IHSS internal controls, the procedures used to carry out assigned responsibilities, and compliance with applicable policies and standards. The ACO finalized and published their findings along with recommended opportunities for improvement dated April 27, 2017. The purpose of this Board Follow-up Report from H&SS is to describe the activities completed and in-progress related to the internal control review, specifically the areas for improvement and recommendations.

DISCUSSION:

IHSS is a statewide program administered at the County level by H&SS, Older & Disabled Adult Services (ODAS), and under the direction of the California Department of Social Services (CDSS). The goal of IHSS is to provide those with limited income who are disabled, blind or over the age of 65, with in-home care services to help them remain safely at home. Qualified individuals have the right to apply and are guaranteed services based on eligibility factors and determination of need.

The ACO's Internal Control Review of the IHSS program (dated April 27, 2017) reported opportunities for improvement in order to be in compliance with required mandates and to better achieve program objectives. ODAS has made evident pr...

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