CSA
Status of Recommendations
Read the report at California State Auditor ↗
Recommendations
Not Fully Implemented
After One Year
The Omnibus Audit Accountability Act of 2006
January 2019
REPORT 2018-041
CALIFORNIA STATE AUDITOR
621 Capitol Mall, Suite 1200 | Sacramento | CA | 95814
916.445.0255 | TTY 916.445.0033
For complaints of state employee misconduct,
contact us through the Whistleblower Hotline:
1.800.952.5665
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For questions regarding the contents of this report, please contact Margarita Fernández, Chief of Public Affairs, at 916.445.0255
This report is also available online at www.auditor.ca.gov | Alternate format reports available upon request | Permission is granted to reproduce reports
Elaine M. Howle State Auditor
January 10, 2019
2018‑041
Dear Governor and Legislative Leaders:
Consistent with the Omnibus Audit Accountability Act of 2006 (Government Code sections 8548.7
and 8548.9), the California State Auditor (State Auditor) presents this special report to the Joint
Legislative Audit Committee, Joint Legislative Budget Committee, and Department of Finance. This
report notes that from November 2011 through October 2017, our office issued 227 reports on audits
and investigations of state agencies. Those reports included 1,715 recommendations, and state agencies
had fully implemented 1,434, or 84 percent, of them, as of October 2018. However, we identified
281 unaddressed recommendations that were more than one year old. Similarly, we issued 74 reports
to nonstate entities, such as counties or school districts. Those reports included 700 recommendations
and as of October 2018, the nonstate entities had implemented 596, or 85 percent, of them. In addition
to identifying which recommendations have and have not been fully implemented, the State Auditor’s
website contains written responses from each state agency explaining the status of each recommendation.
For recommendations that have not been fully implemented, the website also provides agency responses
regarding when or if these recommendations will be fully implemented.
Our audit and investigative efforts bring the greatest return when agencies act upon the findings and
recommendations. For example, in December 2016, we released an audit of the Board of Registered
Nursing’s (BRN) enforcement program. That audit found that BRN did not meet the Department of
Consumer Affairs’ 18-month goal for processing complaints, and that some complaints that involved
high-priority allegations, such as patient death, harm, or criminal activity, had been waiting, on
average, nearly 80 days to be assigned to one of BRN’s investigators. Consequently, BRN risked patient
safety through delays that allow some nurses who may pose a safety risk to continue practicing. As
of October 2018, BRN had fully implemented 14 of our 23 recommendations designed specifically to
promote patient safety. BRN is working to implement nearly all of the remaining recommendations
and, by doing so, BRN will prioritize patient safety by more effectively processing complaints, thus
preventing nurses who may pose a risk to patients from practicing.
If you would like more information about any of the background or recommendations in this report,
please contact Margarita Fernández, Chief of Public Affairs, at (916) 445-0255.
Respectfully submitted,
ELAINE M. HOWLE, CPA
California State Auditor
621 Capitol Mall, Suite 1200 | Sacramento, CA 95814 | 916.445.0255 | 916.327.0019 fax | www.auditor.ca.gov
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California State Auditor Report 2018-041 v
January 2019
Contents
Introduction 1
Table 1
Recommendations Made to State Entities That Are More
Than Five Years Old and Are Still Not Fully Implemented 5
Table 2
Recommendations Made to State Entities That Are More
Than One Year Old and Are Still Not Fully Implemented 7
Table 3
Recommendations Made to Nonstate Entities That Are More
Than One Year Old and Are Still Not Fully Implemented 49
vi California State Auditor Report 2018-041
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California State Auditor Report 2018-041 1
January 2019
INTRODUCTION
As required by the Omnibus Audit Accountability Act of 2006 (Accountability Act), the California
State Auditor (State Auditor) presents its report on the status of recommendations that are more
than one year old and have not been fully implemented by the audited entities. The Accountability
Act requires state agencies audited or investigated by the State Auditor to provide updates on their
implementation of audit recommendations. The State Auditor’s long-standing practice, which is
consistent with generally accepted government auditing standards, is to request audited entities to
provide written updates on their implementation of audit recommendations 60 days, six months,
and one year after the audit report’s public release date. For investigative reports, state law requires
state agencies that are the subject of an investigation to provide updates on their implementation of
recommendations within 60 days of receiving the reports, and monthly thereafter, until the agency
has taken final action. As the State Auditor implemented the Accountability Act, it retained these
prescribed time frames as the intervals at which agencies must report on their implementation of
audit recommendations. The State Auditor first notified all state agencies of their responsibilities
under the Accountability Act and the State Auditor’s plans for implementing these requirements
in May 2007. Since that time, the State Auditor has annually provided a reminder to relevant
state agencies regarding recommendations issued that were more than a year old and not
fully implemented.
RESULTS IN BRIEF
State Entities
From November 2011 through October 2017, the State Auditor issued 227 reports that related
to audits or investigations of state agencies. These reports were requested through the Joint
Legislative Audit Committee, legislation, or as a result of an investigation.1 The State Auditor made
1,715 recommendations to the audited state agencies in those reports, of which 1,434 have been fully
implemented. However, the State Auditor identified 281 recommendations made to 40 agencies that
had been outstanding at least one year and remain not fully implemented as of October 2018.2
Nonstate Entities
From November 2011 through October 2017, the State Auditor issued 74 reports that included
nonstate entities, and made 700 recommendations to these entities. As of October 2018, the State
Auditor identified 104 recommendations issued to 32 nonstate entities that are more than one year
old and not fully implemented.
1 Excludes the statewide single audit (financial and federal compliance audits), which is mandated as a condition of California receiving federal
funding. The State Auditor follows up and reports on the recommendations made in those audits each year in the State Auditor’s annual
report on California’s Internal Control and State and Federal Compliance. As of January 1, 2010, the State Auditor began reporting as required
on the status of recommendations made in investigative reports. The State Auditor initiated the investigations in response to whistleblower
complaints or other information suggesting improper governmental activities.
2 Excludes recommendations for legislative changes. Those recommendations are included in a separate report to the Legislature.
2 California State Auditor Report 2018-041
January 2019
Importance of Implementing Recommendations
The State Auditor’s audit and investigative efforts bring the greatest return when agencies act upon
its findings and recommendations. For example, in December 2016, the State Auditor released an
audit concerning the Board of Registered Nursing’s (BRN) enforcement program. The State Auditor
found that BRN did not meet the Department of Consumer Affairs’ 18-month goal for processing
complaints, and that some complaints that involved high-priority allegations, such as patient death,
harm, or criminal activity, had been waiting, on average, nearly 80 days to be assigned to one of
BRN’s investigators. Consequently, BRN risked patient safety through delays that allow some nurses
who may pose a safety risk to continue practicing. As of October 2018, BRN fully implemented 14 of
23 recommendations made by the State Auditor, and specifically designed to promote patient safety.
Additionally, BRN is working to fully implement nearly all of the remaining recommendations.
By implementing all of the State Auditor’s recommendations, BRN will prioritize patient safety by
more effectively processing complaints, thus preventing nurses, who may pose a risk to patients,
from practicing.
In October 2018, the State Auditor mailed notices to audited and investigated entities regarding
recommendations more than a year old and not fully implemented, corresponding to reports issued
from November 2011 through October 2017. The tables beginning on page 5 summarize and provide
information on recommendations issued between November 2011 and October 2017. Table 1 shows
recommendations more than five years old, issued between November 2011 and October 2012, which
have not been fully implemented as of the agencies’ latest response. Because the recommendations
shown in Table 1 are more than five years old, they will not be reassessed by the State Auditor in
subsequent reports. Table 2, beginning on page 7, summarizes recommendations that have not
been fully implemented for audits and investigations pertaining to state entities, issued between
November 2012 and October 2017. As indicated on Table 2, the State Auditor did not always agree
with agency assertions that certain recommendations were fully implemented. Two columns
in Table 2 provide the State Auditor’s reason for disagreement. Table 3, beginning on page 49,
summarizes recommendations more than one year old made to nonstate entities and their current
implementation status.
The symbol appears in the tables next to the audit number whenever an audit has
recommendations to more than one agency appearing in this report. Please refer to the
index on page 3.
California State Auditor Report 2018-041 3
January 2019
Index
Reference for Reports Featuring Recommendations to Multiple Entities
REPORT ENTITIES WITH RECOMMENDATIONS
State Entities With Recommendations—Included in Table 2
A 2012-110 California Governor's Office of Emergency Services, California Natural Resources Agency, Department of Motor Vehicles
B 2013-109 California Public Utilities Commission, Public Advocates Office
C 2013-124 University of California; University of California, Berkeley; University of California, Los Angeles
D 2014-116 California Department of Technology, Department of Consumer Affairs
E 2015-131 California Department of Social Services, Department of Health Care Services, Medical Board of California
F 2016-126 California Department of Justice, California Department of Social Services
G 2016-130 University of California; University of California, Board of Regents
Nonstate Entities With Recommendations—Included in Table 3
H 2013-036 Butte County, County of San Diego
I 2014-132 Hesperia Water District, Victorville Water District
J 2015-115 County of Alameda, County of Santa Clara
K 2015-134 City of Novato, City of Pasadena
L 2016-036 County of Fresno, County of San Diego
M 2016-141 Acton-Agua Dulce Unified School District, Antelope Valley Union High School District, New Jerusalem Elementary School District
State and Nonstate Entities With Recommendations—Included in Tables 2 and 3
N 2015-112 California Department of Education, East Side Union High School District, Long Beach Unified School District
O 2015-130 California Department of Justice, Los Angeles Police Department, Santa Ana Police Department, Santa Clara County Sheriff's Office
P 2016-112 California Department of Education, Commission on Teacher Credentialing, San Juan Unified School District
Q 2016-136 California Department of Education, California Department of Justice, San Bernardino County Superintendent of Schools
R 2016-139 California Department of Education, San Francisco Unified School District, Stockton Unified School District
S 2017-107 Santa Clara County Registrar of Voters, Secretary of State's Office
Additional information on each recommendation is available at the State Auditor’s website. The
website includes each agency’s response to the current status of outstanding recommendations.
The website also includes the audit or investigative report and summary, the text of the
recommendation, and the State Auditor’s assessment of whether the agency has fully implemented
the recommendation, based on the agency’s response, supporting documentation, and inquiries.
4 California State Auditor Report 2018-041
January 2019
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California State Auditor Report 2018-041 5
January 2019
Table 1
Recommendations Made to State Entities That Are More Than Five Years Old and Are Still Not Fully Implemented
(Reports Issued From November 2011 Through October 2012)
NUMBER OF YEARS
RECOMMENDATION
REPORT TITLE, NUMBER, AND HAS APPEARED IN ESTIMATED DATE
ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION
BUSINESS, CONSUMER SERVICES, HOUSING
Physical Therapy Board of California
Physical Therapy Board of California: 1. The physical therapy board should explore the feasibility of 6 Will Not
Although It Can Make Improvements, establishing a state position to perform the duties of its current Implement
It Generally Processes Complaints in‑house consultant at a reduced cost.
and Monitors Conflict-of-Interest
Requirements Appropriately
2011-119 (June 2012)
CORRECTIONS AND REHABILITATION
Board of State and Community Corrections
Juvenile Justice Realignment: Limited 5. To maximize the usefulness of the information it makes available to 6 Will Not
Information Prevents a Meaningful Assessment stakeholders and to increase accountability, the board should consider Implement
of Realignment’s Effectiveness verifying the counties’ data by conducting regular site visits on a
2011-129 (September 2012) rotating basis or by employing other procedures to verify data that
counties submit..
12. To ensure that counties do not maintain excessive balances of 6 Will Not
unexpended block grant funds, the board should develop procedures Implement
to monitor counties’ unspent funds and follow up with them if the
balances become unreasonable.
GOVERNMENT OPERATIONS
Department of General Services
Department of General Services: The Division 1. To ensure public safety and provide public assurance that school 6 Will Not
of the State Architect Lacks Enforcement districts construct projects in accordance with approved plans, the Implement
Authority and Has Weak Oversight Procedures, department, in conjunction with the division, should pursue legislative
Increasing the Risk That School Construction changes to the Field Act that would prohibit occupancy in cases in
Projects May Be Unsafe
which the division has identified significant safety concerns.
2011-116.1 (December 2011)
HEALTH AND HUMAN SERVICES
Department of Health Care Services
Intellectual Property: An Effective Policy Would 4. Caltrans, the Energy Commission, Food and Agriculture, and Health 6 January 2019
Educate State Agencies and Take Into Account Care Services should put in writing those policies and procedures
How Their Functions and Property Differ related to intellectual property that they believe are necessary and
2011-106 (November 2011) appropriate to enable their staff to identify, manage, and protect their
intellectual property.
LEGISLATIVE, JUDICIAL, AND EXECUTIVE
California Governor’s Office of Emergency Services
California’s Mutual Aid System: The California 1. To make certain that emergency response agencies receive 6 December 2019
Emergency Management Agency Should reimbursements on time, Cal EMA should establish procedures to
Administer the Reimbursement Process ensure that paying entities do not delay reimbursements.
More Effectively
2011-103 (January 2012)
TRANSPORTATION
California High‑Speed Rail Authority
High-Speed Rail Authority Follow-Up: Although 3. To avert possible legal challenges, the Authority should ensure that 6 Will Not
the Authority Addressed Some of Our Prior the independent peer review panel adheres to the Bagley‑Keene Implement
Concerns, Its Funding Situation Has Become Open Meeting Act or seek a formal opinion from the Office of the
Increasingly Risky and the Authority’s Weak Attorney General regarding whether the panel is subject to this act.
Oversight Persists
2011-504 (January 2012)
6 California State Auditor Report 2018-041
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California State Auditor Report 2018-041 7
January 2019
Table 2
Recommendations Made to State Entities That Are More Than One Year Old and Are Still Not Fully Implemented
(Reports Issued From November 2012 Through October 2017)
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
BUSINESS, CONSUMER SERVICES, HOUSING
Board of Registered Nursing
Board of Registered Nursing: 5. To ensure that BRN resolves complaints regarding 1 †
Significant Delays and nurses in a timely manner, by March 1, 2017, it
Inadequate Oversight of the should develop and implement formal policies
Complaint Resolution Process that specify required time frames for each key
Have Allowed Some Nurses
stage of the complaint resolution process,
Who May Pose a Risk to Patient
Safety to Continue Practicing including time frames for how quickly complaints
should be assigned to the proper investigative
2016-046 (December 2016)
unit or expert witness, and how long the
investigation process should take. BRN should
also work with DOI to establish a reasonable goal
for the length of time DOI’s investigators take to
conduct investigations of complaints referred to
it by BRN.
8. To increase its pool of expert witnesses, by 1 †
June 2017, BRN should develop and implement a
process to track the effectiveness of the methods
it uses to recruit expert witnesses, and then
focus its efforts on those methods that prove to
be the most successful.
10. To increase its pool of expert witnesses, by 1 Will Not
June 2017, BRN should take the steps necessary to Implement
increase the hourly wage it pays expert witnesses.
11. To ensure it does not risk compromising 1 †
private and confidential information related
to ongoing investigations of complaints, BRN
should immediately ensure that any email
correspondence it has with expert witnesses is
transmitted securely.
12. To ensure that it is able to accurately monitor the 1 Spring 2019
performance of its complaint resolution process
and that it has accurate data to address its staffing
needs, BRN should immediately begin working
with Consumer Affairs to implement cost‑effective
input controls for BreEZe that will require BRN staff
members to enter information into a complaint
record in a way that is consistent with BRN’s
business processes, as well as to implement
changes that would cause BreEZe to accurately
identify the order in which activities occur.
13. To ensure that it is able to accurately monitor the 1 Undetermined
performance of its complaint resolution process
and that it has accurate data to address its staffing
needs, once it has implemented cost‑effective
input controls for BreEZe and accumulated
six months of data, BRN should analyze these data
to determine whether its staffing is sufficient to
meet its workload.
continued on next page . . .
8 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
16. To ensure that BRN and DOI consistently conduct 1 †
adequate investigations and obtain sufficient and
appropriate evidence to discipline nurses accused
of violating the Nursing Practice Act if warranted,
BRN in collaboration with Consumer Affairs should
implement a mechanism by March 2017 to track and
monitor supplemental investigation requests that
result from investigators’ failure to obtain required
documentation or sufficient evidence and use this
information to mitigate the causes of these failures.
20. To ensure that its enforcement unit employees 1 †
appropriately address and process complaints
in a consistent and efficient manner, BRN should
implement a formal training program no later
than December 2017. In developing this program,
BRN should consult with DOI and the Attorney
General to identify training that could benefit
its enforcement staff, and also solicit input of its
enforcement staff on areas of their job duties
where they believe they need additional training.
26. To ensure that it promptly and appropriately sends 1 †
notifications to complainants as state law requires,
by March 2017, BRN should establish formal
procedures, such as managers performing routine
audits of complaint files, to monitor incoming
complaints and final dispositions.
California State Athletic Commission
State Athletic Commission: 7. To ensure that it adequately tracks critical information 5 October 2023
Its Ongoing Administrative related to its basic functions and mission, the
Struggles Call Its Future commission should work with Consumer Affairs to
Into Question ensure that the new online program will meet its
2012-117 (March 2013) needs and requirements. Once the program is in
place, the commission should use it as its central
means for tracking its operations.
9. To ensure that it accurately collects revenue, 5 Will Not
the commission should calculate the pension Implement
assessment by counting all the complimentary
tickets issued, except for working complimentary
tickets, not merely the complimentary tickets that
are redeemed. If the commission does not agree
that it should calculate the pension assessment
by counting all the complimentary tickets issued,
it should seek a change in its regulations to
calculate the fee based only on the number of
complimentary tickets redeemed.
22. The commission needs to establish regulations 5 December 2019
that describe its process for determining
its ticket assessment for the Neurological
Examination Account so that it avoids the use of
underground regulations.
Department of Consumer Affairs
California Department of 17. To the extent that Consumer Affairs chooses 3 TBD
D Consumer Affairs’ BreEZe to implement BreEZe at the phase 3 regulatory
System: Inadequate entities, it should first complete a formal
Planning and Oversight Led cost‑benefit analysis to ensure that BreEZe
to Implementation at Far
is a cost‑effective solution to meet these
Fewer Regulatory Entities at a
Significantly Higher Cost regulatory entities’ business needs. To make
certain this analysis is complete, it should
2014-116 (February 2015)
include an assessment of the potential changes
these regulatory entities may require to be
made of the BreEZe system and the associated
costs. Consumer Affairs should complete the
cost‑benefit analysis before investing any more
resources into the implementation of BreEZe
at the phase 3 regulatory entities, and it should
update this analysis periodically as significant
assumptions change.
California State Auditor Report 2018-041 9
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
35. To ensure that future training for BreEZe system 3 TBD
rollouts is timely and effective, Consumer Affairs
should provide training on the BreEZe system as
close to the rollout date as possible to ensure that
staff retain the information for using the system as
it is implemented.
36. To ensure that future training for BreEZe system 3 TBD
rollouts is timely and effective, Consumer Affairs
should work with the regulatory entities to
develop training that is specific to each entity’s
business processes.
Medical Board of California
California’s Foster Care System: 35. Following the completion of the analysis 2 Undetermined
E The State and Counties Have (described in Recommendation 34), the Medical
Failed to Adequately Oversee Board should take the appropriate follow‑up
the Prescription of Psychotropic actions that it deems necessary, including the
Medications to Children in
investigation of physicians identified in its analysis.
Foster Care
2015-131 (August 2016)
CORRECTIONS AND REHABILITATION
California Correctional Health Care Services
Sterilization of Female 5. To ensure that it can better monitor how its 3 Will Not
Inmates: Some Inmates medical staff and contractors adhere to the Implement
Were Sterilized Unlawfully, informed consent requirements of California Code
and Safeguards Designed of Regulations, sections 70707.1 through 70707.7
to Limit Occurrences of the
(Title 22), the Receiver’s Office should develop a
Procedure Failed
plan by August 2014 to implement a process by
2013-120 (June 2014)
December 2014 that would include working with
Corrections to establish a process whereby inmates
can have witnesses of their choice when consenting
to sterilization, as required by Title 22, or working
to revise such requirements so that there is an
appropriate balance between the need for secure
custody and the inmate’s ability to have a witness of
her choice.
11. To ensure that inmates receive only medical 3 December 2019
services that are authorized through its utilization
management process, the Receiver’s Office
should ensure that the computer system it
procures includes functionality to electronically
link medical scheduling with authorization
through the utilization management process to
prevent all unauthorized procedures, regardless
of whether they may result in sterilization, from
being scheduled.
California Department of Corrections and Rehabilitation
California Department of 4. Adjust current employees’ leave balances in the 5 October 2019
Corrections and Rehabilitation leave accounting system to correct any improper
and California Correctional charging of leave identified by the audit.
Health Care Services: Both
Agencies Wasted State 6. In instances where the audit has determined that 5 March 2020
Resources by Improperly
an employee’s leave balance was mischarged
Accounting for Leave Taken by
but the employee subsequently departed state
Their Employees
I2010-1045 (June 2013)‡ service, take appropriate measures to remedy any
resulting incorrect compensation of the employee
for unused leave upon his or her departure,
including by seeking repayment of any amount
overpaid to the employee.
California Department of 2. Corrections should immediately require mental 1 †
Corrections and Rehabilitation: health staff to score 100 percent on risk evaluation
It Must Increase Its Efforts audits in order to pass. If a staff member does
to Prevent and Respond to not pass, Corrections should require the prison to
Inmate Suicides
follow its current policies by reviewing additional
2016-131 (August 2017) risk evaluations to determine whether the staff
member needs to undergo additional mentoring.
continued on next page . . .
10 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
8. To monitor prisons’ compliance with its 1 September 2018
requirement that inmates in crisis beds
receive daily progress notes, Corrections
should implement monitoring of these notes
electronically into its audit process by the time
the electronic health record system is in use
systemwide in October 2017. Corrections should
require prisons that are out of compliance to
develop and implement quality improvement
plans, and it should follow up on the prisons’
implementation of those plans.
11. To address the unique circumstances that may 1 December 2018
increase its female inmates’ rates of suicide and
suicide attempts, Corrections should continue to
explore additional programs that could address
the suicide risk factors for female inmates.
12. To ensure that all prison staff receive required 1 September 2018
training related to suicide prevention and response,
Corrections should immediately implement a process
for identifying prisons where staff are not attending
required trainings and for working with the prisons to
solve the issues preventing attendance.
13. To ensure that trainers and risk evaluation mentors 1 August 2018
at all prisons are able to train staff effectively,
Corrections should immediately begin requiring
prisons to report the percentage of their trainers
and mentors who have received training on how
to conduct training and mentoring. It should
work with prisons to ensure that all trainers and
mentors receive adequate training.
14. To maximize the value of its trainings related to 1 January 2019
suicide prevention and response, Corrections
should ensure that starting in January 2018, its
trainings include all content that the special
master and its own policies require.
15. To ensure that it has enough staff to provide 1 August 2018
mental health services to all inmates who require
care, Corrections should review and revise its
mental health staffing model by August 2018.
16. To ensure that prisons comply with its policies 1 November 2018
related to suicide prevention and response,
Corrections should continue to develop its
audit process and implement it at all prisons by
February 2018. The process should include, but
not be limited to, audits of the quality of prisons’
risk evaluations and treatment plans.
17. To ensure that prisons can easily access 1 December 2019
Corrections’ current policies related to mental
health, Corrections should ensure that its program
guide is current and complete as it works to
incorporate the program guide into regulations.
Corrections should immediately begin working
with federal court monitors to draft regulations.
18. To ensure that suicide prevention teams meet 1 †
quorum requirements, Corrections should,
starting January 2018, work with prisons that
consistently fail to achieve a quorum to resolve
issues that may be preventing the teams from
having all required members present at meetings.
21. To provide the public and relevant stakeholders 1 August 2018
with accurate information on suicides and suicide
attempts in its prisons, Corrections should
immediately require prison staff to work with
mental health staff to reconcile any discrepancies
on suicides and suicide attempts before
submitting numbers to the COMPSTAT unit.
California State Auditor Report 2018-041 11
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
Investigations of Improper 19. Corrections and Correctional Health Care should 3 March 2019
Activities by State Agencies run a query of exempt positions related to the
and Employees chief psychologist classification, such as clinical
I2015-1 (August 2015)‡ psychologists and senior psychologists, to
determine whether any other exempt employees
were improperly credited or paid for on‑call or
call‑back assignments prior to December 2014,
and seek recovery through reducing those
employees’ accumulated leave balances.
Investigations of Improper 15. CDCR should revise the Institutional Worker 1 November 2018
Activities by State Agencies Supervision Pay (IWSP) procedure to require
and Employees: Misuse that personnel staff review and ensure that an
of Resources, Inaccurate employee’s direct supervisor signs the qualifying
Attendance Records, Disclosure
employee’s timesheets and IWSP documents
of Confidential Information,
and Improper Payments each month.
I2017-1 (March 2017)‡ 17. CDCR should enforce its current procedure to 1 January 2019
retain IWSP documentation.
18. CDCR should enforce its current procedure for 1 January 2019
personnel staff to conduct annual audits of the
IWSP program.
19. CDCR should train all employees, supervisors, and 1 May 2019
personnel staff who receive, approve, or issue
the extra pay to ensure that they are familiar with
the requirements of the IWSP procedure and Pay
Differential 67.
ENVIRONMENTAL PROTECTION
California Department of Resources Recycling and Recovery
California Department of 2. To ensure it can demonstrate that its fraud 3 June 2020
Resources Recycling and prevention efforts are maximizing financial
Recovery: The Beverage recoveries for the beverage program, CalRecycle
Container Recycling Program should both modify and annually update its fraud
Continues to Face Deficits and
management plan to include the following:
Requires Changes to Become
Financially Sustainable • By December 31, 2014, formally establish a
2014-110 (November 2014) systematic process for analyzing, monitoring,
and responding to the risk of fraudulent
recycling of out‑of‑state beverage containers.
• Develop fraud estimates—by type of
fraudulent activity—that quantify the potential
financial losses to the beverage program and
the methodology CalRecycle used to develop
these estimates.
• Identify the amount of actual fraud in the prior
year by type of fraudulent activity, such as the
financial losses resulting from the redemption
of out‑of‑state beverage containers or the
falsification of reports used to substantiate
program payments.
• Identify the amount actually recovered for
the beverage program in the form of cash for
restitution and penalties resulting from fraud.
3. To allow for public input and to prevent any 3 December 2019
legal challenges claiming that its policies
and procedures regarding prepayment holds
constitute unenforceable underground
regulations, CalRecycle should adopt these
policies and procedures as regulations in
accordance with the Administrative Procedure Act.
continued on next page . . .
12 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
State Water Resources Control Board
Investigations of Improper 1. Take appropriate corrective action against the 2 Undetermined
Activities by State Agencies district engineer and the supervisors for their
and Employees: Conflict participation in or failure to address the conflict
of Interest, Violation of of interest.
Post-Employment Ethics
Restrictions, Waste of
State Funds, Misuse of
State Resources, and
Incompatible Activities
I2016-2 (August 2016)‡
GENERAL GOVERNMENT
California Department of Veterans Affairs
California Department of 5. To better utilize unused space at the veterans 5 December 2019
Veterans Affairs: It Has Initiated homes, and to serve more veterans within legal
Plans to Serve Veterans Better restrictions, CalVet should use the information
and More Cost-Efficiently, in the Yountville veterans home master plan
but Further Improvements
to develop a plan for using unused space at
Are Needed
that home to generate revenue and/or serve
2012-119 (May 2013)
more veterans.
11. To ensure it is maximizing its ability to serve 5 December 2019
veterans in the State’s veterans homes, CalVet
should follow through with its plan to assess
the bed capacity of the homes for veterans’
needs after the homes in Fresno and Redding
are licensed, to determine the most appropriate
number of beds for the different levels of care
offered at each home.
15. To allow for public input and to prevent any legal 5 January 2020
challenges that its policy of capping members’
fees, its $165 monthly income‑retention policy for
members, and its age and admission policy are
unenforceable underground regulations, CalVet
should adopt these policies as regulations in
accordance with the Administrative Procedure Act.
17. To more effectively and efficiently meet state 5 December 2019
purchasing and procurement requirements,
CalVet should continue implementing quality
assurance policies to strengthen its oversight of
its purchasing practices, including conducting
on‑site reviews of the purchasing practices of the
veterans homes.
California Public Utilities Commission
California Public Utilities 2. The commission should determine the cause of 5 December 2018
Commission: Despite its lack of compliance with state law requiring it to
Administrative Weaknesses, issue award decisions within 75 days of the date
It Has Generally Awarded an intervenor submits a compensation claim, and
Compensation to Intervenors
it should determine what actions to take to rectify
in Accordance With State Law
the problem. The commission should ensure
2012-118 (July 2013)
that it has sufficient information, such as detailed
tracking information regarding claims, to identify
where in the process delays are occurring. If the
commission determines that the current 75‑day
statutory period is unreasonable, it should seek a
change in state law.
5. To comply fully with state law, the commission 5 †
should conduct a comprehensive market rate
study and update it periodically.
California State Auditor Report 2018-041 13
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
California Public Utilities 14. The commission should follow the requirement 4 July 2020
B Commission: Improved in state law to inspect and audit the accounting
Monitoring of Balancing records of utilities it regulates within required time
Accounts Would Better Ensure frames. If the commission chooses to continue to
That Utility Rates Are Fair
meet this requirement through the general rate
and Reasonable
case process, it should ensure that all utilities file
2013-109 (March 2014)
a general rate case on a regular schedule so as to
comply with the state law’s audit requirement.
However, the commission should follow alternate
methods to comply with the audit requirement
when a utility will not be filing for its general rate
case in time to be audited within three or five
years, depending on the timing of the required
audit for that utility.
California Public Utilities 2. To ensure that it resolves complaints against 4 †
Commission: It Fails to passenger carriers in a timely manner, the
Adequately Ensure Consumers’ commission should establish a method for
Transportation Safety and prioritizing complaints and it should implement
Does Not Appropriately
a policy specifying the maximum amount of
Collect and Spend Fees From
Passenger Carriers time between the receipt of a complaint and
the completion of the subsequent investigation.
2013-130 (June 2014)
Further, the commission should require branch
management to monitor and report regularly on
its performance in meeting that policy.
6. To ensure that the branch conducts thorough 4 †
investigations of passenger carriers, the
commission should implement a formal training
program to ensure that all investigators have
adequate knowledge and skills related to
regulating passenger carriers.
9. To ensure that passenger carriers submit 4 December 2018
accurate fee payments, the commission should
require its fiscal staff to implement a process
to verify passenger carrier fee payments and
associated revenue.
10. To ensure that it complies with state law and 4 †
uses passenger carrier fees appropriately, the
commission should implement a process to
ensure that passenger carrier fee revenues more
closely match related enforcement costs.
12. To detect and deter carriers from operating 4 †
illegally at airports, the branch should use as
intended the five positions added for passenger
carrier enforcement at airports. If the branch
chooses not to designate five positions solely
for this purpose, then it must be prepared to
demonstrate regularly that an equivalent number
of full‑time positions are working on this activity.
13. To strengthen its leadership and ensure 4 February 2019
passenger carrier and public safety, the branch
should produce a draft strategic plan by
December 31, 2014, with a final strategic plan
completed as the commission specifies. The
strategic plan should include goals for the
program; strategies for achieving those goals,
including strategies for staff development and
training; and performance measures to assess
goal achievement.
continued on next page . . .
14 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
California Public Utilities 3. To ensure that policy makers, enforcement 3 July 2019
Commission: It Needs to officials, and the general public have access to
Improve the Quality of Its accurate consumer complaint data in its Computer
Consumer Complaint Data Information Management System (CIMS), the
and the Controls Over Its
branch should continue to implement its quality
Information Systems
management team program component focused
2014-120 (April 2015)
on reviewing the categorization of complaints and
correcting identified errors.
4. To ensure that policy makers, enforcement 3 July 2019
officials, and the general public have access to
accurate consumer complaint data in CIMS, the
branch should develop and implement tools
by September 30, 2015, to measure the quality
management team program’s effectiveness.
11. The commission should ensure that it complies with 3 October 2019
all policy requirements in the State Administrative
Manual Chapter 5300 no later than April 2016.
13. As part of developing, implementing, and 3 †
maintaining an entitywide information security
program, the commission should develop a risk
management and privacy plan and conduct an
assessment of risks facing its information assets.
16. The commission should revise its existing recovery 3 October 2019
plan to include a list of applications supporting
critical business functions, their maximum
acceptable outage time frames, and detailed
recovery strategies for each application.
17. The commission should revise its existing recovery 3 October 2019
plan to include detailed procedures for rebuilding
its technology infrastructure at an alternate
processing site.
18. The commission should conduct regular tests and 3 †
exercises to assess the sufficiency of the revised
recovery plan and refine the plan when necessary.
California Public Utilities 2. To ensure that the choice of a vendor is sufficiently 2 Will Not
Commission: It Should justified and that the vendor represents the best Implement
Reform Its Rules to value, the CPUC should explain in its final decision
Increase Transparency and how the vendor was the most qualified in all cases
Accountability, and Its
when the CPUC does not competitively select the
Contracting Practices Do Not
Align With Requirements or vendor it directs utilities to contract with.
Best Practices
4. To avoid the appearance of inappropriate 2 †
2016-104 (September 2016)
relationships, the CPUC should adopt a policy to
prohibit commissioners from accepting gifts from
regulated utilities and energy companies and free
travel from organizations with significant ties to
regulated utilities and other parties with financial
interests in CPUC proceedings.
6. To ensure that its contracting practices align with 2 October 2019
state requirements and best practices, the CPUC
should update, distribute, and follow its contracting
procedures manual. The manual should identify
specific responsibilities for both contracts office
staff and project managers, and it should provide
specific guidance about the processes the CPUC
will employ to do the following:
• Fully justify civil service exemptions.
• Conduct market research for exempt contracts.
• Fully support the need for additional funding
• Ensure that it does not change the scope of work
too significantly from the original
• Monitor contractor performance against criteria
included in its contracts.
• Avoid sole‑source contracts when it is able to
solicit competitive bids for services.
California State Auditor Report 2018-041 15
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
7. To ensure that its contracting practices align with 2 †
state requirements and best practices, the CPUC
should provide immediate refresher training to its
contract analysts and contracts office manager,
and establish a regular schedule of annual training
for them to attend.
8. To ensure that its contracting practices align with 2 October 2019
state requirements and best practices, the CPUC
should designate a limited number of project
managers for each division at the CPUC, and
provide those individuals with training on the
CPUC’s processes related to contracting, including
how to monitor progress of a contractor’s work.
10. The CPUC should update its general policy on 2 October 2019
responding to California Public Records Act
requests so that the policy aligns with state law.
13. The CPUC should update its regulations to require 2 Will Not
parties joining a proceeding by filing a protest Implement
or response to an application or petition, or by
filing comments in response to a rulemaking
proceeding to fully disclose their interests in
the proceeding.
15. The CPUC should update and follow its retention 2 †
policy for economic interest disclosures so that it is
aligned with state law.
California’s Alternative Energy 3. To show how air pollution emissions reductions 3 †
and Efficiency Initiatives: related to the solar initiative benefit the State, the
Two Programs Are Meeting commission should include in future reports the
Some Goals, but Several measurable benefits of those reductions.
Improvements Are Needed
2014-124 (February 2015)
Public Advocates Office§
California Public Utilities 7. To further its mission to obtain the lowest 4 Will Not
B Commission: Improved possible rates for reliable and safe utility service Implement
Monitoring of Balancing for ratepayers through its reviews of balancing
Accounts Would Better Ensure accounts, Ratepayer Advocates should use the
That Utility Rates Are Fair
commission’s list of balancing accounts to guide
and Reasonable
its selection of the number, size, and type of
2013-109 (March 2014)
balancing accounts to review so that its review
coverage is more proportional across all utilities.
GOVERNMENT OPERATIONS
California Department of Technology
California Department of 14. To ensure that Information Technology (IT) 3 †
D Consumer Affairs’ BreEZe projects have the oversight needed to better
System: Inadequate position them for success, Technology should
Planning and Oversight Led develop thresholds relating to IT project cost
to Implementation at Far
increases and schedule delays to inform and
Fewer Regulatory Entities at a
Significantly Higher Cost better justify its decision to allow an IT project
to continue. If a department’s IT project reaches
2014-116 (February 2015)
or exceeds these thresholds, Technology should
require the department to conduct a cost‑benefit
analysis for the project and include this analysis in
a Consumer Affairs Special Project Report (SPR).
Technology should consider the results of this
analysis in its decision to approve or deny the
SPR and, if warranted, take action to suspend or
terminate the project so that it does not allow
projects with significant problems to continue
without correction.
continued on next page . . .
16 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
California Department of 14. Although Technology indicated that its intent is 2 †
Veterans Affairs: The State Paid not to outsource its statutory responsibility for
Nearly $28 Million for a Flawed Independent Project Oversight (IPO), in any instances
System That Fails to Meet the where its staff conduct a portfolio review of a
Needs of Its Veterans Homes
project’s IPO, Technology should, by December 2016,
2015-121 (June 2016) establish a process for its review of documents
created by the agency’s IPO contractor that includes
verifying whether these reports include critical
analysis of project progress and vendor performance
so it can intervene when necessary.
High Risk Update—California 6. To help ensure the independence and objectivity 3 †
Department of Technology: of IPO analysts working in the oversight
Lack of Guidance, Potentially and consulting division, Technology should
Conflicting Roles, and Staffing provide regular training regarding maintaining
Issues Continue to Make
independence while conducting project oversight.
Oversight of State Information
Technology Projects High Risk
2014-602 (March 2015)
Department of General Services
California Department of 2. To ensure long‑term efficient and effective 2 December 2018
General Services’ Real Estate delivery of projects, the division, in its planned
Services Division: To Better implementation of its new project management
Serve Its Client Agencies, It system in July 2017, should ensure that the project
Needs to Track and Analyze
management system can centrally track and extract
Project Data and Improve Its
Management Practices all data regarding project status, including time
delays, cost overages, and the reasons for each.
2015-117 (March 2016)
3. To ensure long‑term efficient and effective 2 December 2018
delivery of projects, the division, in its planned
implementation of its new project management
system in July 2017, should track the reasons that
projects are pending to identify its true backlog of
projects. In doing so, it should develop a process
to follow up on those projects that are pending to
ensure that they are not on hold unnecessarily and
are appropriately moving forward.
4. To ensure long‑term efficient and effective 2 December 2018
delivery of projects, the division, in its planned
implementation of its new project management
system in July 2017, should, at least annually, use the
centrally tracked data to identify common themes
in the causes for project delays and cost overages
and develop solutions to address these issues.
Further, it should report the results of its review to
General Services’ executive management.
5. Until the division implements its planned 2 Will Not
project management system, it should, by Implement
September 2016, develop a process to, at a
minimum, identify project status and reasons
for project delays as well as cost overages. Using
these data, the division should modify its project
management processes to ensure the efficient and
effective delivery of projects.
6. The division should develop and implement a 2 †
process for preparing reasonable time frames and
cost estimates for its projects within the building
management branch. To better inform the
development of this process, the division should
evaluate the branch’s structure, which should
include a staffing analysis, to determine whether it
is effectively organized and whether it should add
cost estimator positions.
7. To ensure that client agencies are paying equitable 2 †
rates, by December 2016 General Services should
develop and implement a strategy for allocating
its administrative costs equally among all the
projects it completes for client agencies, including
those portions outsourced to private firms.
California State Auditor Report 2018-041 17
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
8. To ensure that the project management branch 2 †
charges its client agencies a competitive hourly
rate, by December 2016 and every two years
thereafter, the division should conduct a rate
analysis that fully accounts for differences
between the project management branch’s rate
and private firms’ rates. If it finds that the rates are
not competitive, the division should identify and
implement strategies to ensure that the project
management branch’s rates are as competitive
as they can be with those of its private firm
counterparts. Further, the division should explore
and implement any other reasonable methods
to ensure that it is delivering projects as cost
effectively as possible.
10. To improve its communication with client 2 December 2018
agencies, the division should develop a process
for providing periodic detailed bills and invoices
to client agencies clearly describing the work for
which it is charging.
11. To effectively evaluate the performance of its 2 †
branches in delivering projects, the division
should develop meaningful goals and objectives
and a method of measuring its success in
achieving them as part of its strategic plan that is
focused on ensuring that projects are delivered on
time and within budgeted cost estimates.
12. To ensure that its project management staff are 2 †
adequately trained and have the information
necessary to deliver projects as efficiently and
effectively as possible, the division should
conduct a comprehensive survey every other year
of all of its client agencies to inform necessary
improvements to its processes and training
program and, in the interest of transparency, make
the survey results public.
Department of General 3. To improve its oversight of the State’s 1 Will Not
Services and California noncompetitive contracts, General Services Implement
Department of Technology: should, within 90 days, create plans for regularly
Neither Entity Has Provided performing statewide analyses to identify
the Oversight Necessary to
potential abuse or overuse of noncompetitive
Ensure That State Agencies
Consistently Use the contracts. These analyses should include, but
Competitive Bidding Process not be limited to, calculating the proportional
2016-124 (June 2017) value and number of the State’s competitive and
noncompetitive contracts and amendments,
examining trends in agencies’ use of
noncompetitive contracts and amendments,
and identifying unusual patterns among
vendors receiving state contracts through
noncompetitive means.
HEALTH AND HUMAN RESOURCES
California Department of Public Health
California Department of Public 2. To increase its efforts to prevent and control 3 Will Not
Health: Even With a Recent diabetes, Public Health should develop a process Implement
Increase in Federal Funding, Its for identifying and applying for federal funding
Efforts to Prevent Diabetes Are opportunities, including routinely and proactively
Focused on a Limited Number
searching for grants. In addition, Public Health
of Counties
should seek funding for a grants specialist position
2014-113 (January 2015)
to identify and apply for federal and other grants.
continued on next page . . .
18 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
California Department of Public 3. To protect the health, safety, and well‑being 4 Will Not
Health: It Has Not Effectively of residents in long‑term health care facilities, Implement
Managed Investigations of Public Health should improve its oversight of
Complaints Related to Long- complaint processing. Specifically, by May 1, 2015,
Term Health Care Facilities
Public Health should establish a specific time
2014-111 (October 2014) frame for completing facility‑related complaint
investigations and entity‑reported incidents (ERI)
investigations and inform staff of the expectation
that they will meet the time frame. Public Health
should also require district offices to provide
adequate, documented justification whenever
they fail to meet this time frame.
4. To protect the health, safety, and well‑being of 4 Will Not
residents in long‑term health care facilities, Public Implement
Health should improve its oversight of complaint
processing. Specifically, by May 1, 2015, Public
Health should develop formal written policies
and procedures for the Professional Certification
Branch (PCB) to process complaints about certified
individuals in a timely manner. These policies
and procedures should include specific time
frames for prioritizing and assigning complaints
to investigators, for initiating investigations, and
for completing the investigations. Public Health
should also inform staff of the expectation that
they will meet these time frames. It should
require PCB to provide adequate, documented
justification whenever PCB fails to meet the
time frames.
8. To protect the residents in long‑term health care 4 †
facilities from potential harm, Public Health should
ensure that its district offices have adequate
staffing levels for its licensing and certification
responsibilities, including staffing levels that allow
prompt investigations of complaints. Specifically,
Public Health should continue working with CalHR
to complete the reclassification of district offices’
investigator supervisor and manager positions
and then quickly fill the vacant positions at
district offices.
12. To ensure that its district offices properly 4 †
investigate complaints and ERIs, Public Health
should make certain that all district offices follow
procedures requiring supervisory review and
approval of complaint and ERI investigations. If the
district offices do not have a sufficient number of
supervisors to review investigations they did not
conduct, Public Health should arrange to assist
the districts until such time that they do have a
sufficient number of supervisors.
14. To ensure that it has closed complaints and ERIs 4 †
appropriately, Public Health should take steps by
April 2015 to verify that complaints that its field
operations branch closed administratively were
closed appropriately. For example, it could request
the district offices to verify that the closures
were appropriate.
Developmental Centers: 18. To improve its enforcement, each year Public 5 July 2020
Poor-Quality Investigations, Health should evaluate the effectiveness of its
Outdated Policies, Leadership enforcement system across all types of health
and Staffing Problems, and facilities, including those in developmental centers,
Untimely Licensing Reviews
prepare the required annual report, and, if called for,
Put Residents at Risk
recommend legislation to improve the enforcement
2012-107 (July 2013)
system and enhance the quality of care.
California State Auditor Report 2018-041 19
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
Follow-Up—California 8. To ensure it can provide effective oversight of 3 December 2018
Department of Public Health: labs as state law requires, Laboratory Services
Laboratory Field Services Is should address staffing issues by preparing and
Unable to Oversee Clinical resubmitting to Public Health a recruitment
Laboratories Effectively, but a
and retention proposal, developing a succession
Feasible Alternative Exists
plan, and taking necessary steps to implement its
2015-507 (September 2015)
planned reorganization.
9. To ensure it can provide effective oversight of labs 3 December 2018
as state law requires, Laboratory Services should
ensure that its information technology data systems
have necessary safeguards, contain accurate and
complete data, and support its program needs.
10. To ensure it can provide effective oversight of labs 3 June 2020
as state law requires, Laboratory Services should
update and develop its regulations as necessary to
ensure consistency with existing state law.
California Department of Social Services
California Department of 5. To ensure that it more effectively shares, receives, 1 June 2019
F Social Services: Its Caregiver and uses administrative action information, Social
Background Check Bureau Services should develop and maintain a centralized
Lacks Criminal History database containing its own administrative actions
Information It Needs to Protect
and those received from other state departments,
Vulnerable Populations in
Licensed Care Facilities in order to share this information among these
departments as required by state law. Social
2016-126 (March 2017)
Services should seek funding if it believes additional
resources are necessary.
10. To ensure that Social Services evaluates the risk 1 †
individuals may pose to vulnerable populations in
its licensed care facilities as quickly as possible, by
July 2017 Social Services should establish time frames
for staff to evaluate individuals who are present in
their facilities and who have received administrative
actions from other departments. In addition, it
should monitor and follow up with the appropriate
staff regarding the status of their assessments of
these individuals and their final decisions.
13. To comply with state law and better protect 1 Will Not
vulnerable populations in California’s licensed Implement
care facilities, Social Services should immediately
change its policy to require that its exemption
analysts evaluate all infraction convictions, other
than minor traffic violations, before granting
exemptions to individuals. If Social Services
believes it is not feasible to evaluate all of these
convictions, it should report to the Legislature
by June 2017 how it ensures that vulnerable
populations are not at risk and should request
that the Legislature change the law to eliminate
infraction convictions as a crime category that
Social Services must evaluate in order to grant
an exemption.
16. Until the Legislature requires that Social Services 1 December 2019
receive both California and federal criminal history
information before issuing a clearance or processing
an exemption, to better protect vulnerable
populations, Social Services should immediately
revise its policy to require its regional offices to obtain
all self‑disclosure forms for individuals who submit
fingerprints to Justice as part of an application to
be present in a licensed facility. The regional offices
should then forward to the Caregiver Background
Check Bureau (CBCB) all self‑disclosure forms that
identify a conviction.
continued on next page . . .
20 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
17. Until the Legislature requires that Social Services 1 †
receive both California and federal criminal
history information before issuing a clearance
or processing an exemption, to better protect
vulnerable populations, Social Services should
immediately change its practice of allowing
individuals who have not submitted a self‑
disclosure form to Social Services to have access to
licensed facilities, thus reflecting the requirements
of state law. In addition, the CBCB should develop
a process to ensure that individuals cannot receive
a clearance or an exemption without the CBCB
first receiving both California and federal criminal
history information if a regional office does not
have a self‑disclosure form for the individual.
26. To ensure that regional offices pursue legal actions 1 †
in a timely manner, by July 2017 Social Services’
headquarters should identify a resource—such
as a unit—to monitor and follow up with the
regional offices regarding the status of their legal
actions related to substantiated address matches
of registered sex offenders at licensed facilities.
California’s Foster Care System: 30. To improve the oversight of psychotropic 1 Spring 2018
E The State and Counties Have medications prescribed to foster children, Social
Failed to Adequately Oversee Services should collaborate with the counties
the Prescription of Psychotropic and other relevant stakeholders—including
Medications to Children in
Health Care Services, as necessary—to develop
Foster Care
and implement a reasonable oversight structure
2015-131 (August 2016)
that ensures the coordination of the State’s and
counties’ various oversight mechanisms as well as
the accuracy and completeness of the information
in Social Services’ data system. This structure
should include at least the following items:
• Identification of the specific oversight
responsibilities to be performed by the various
state and local government agencies.
• An agreement on how county staff such as
social workers, probation officers, and public
health nurses will use printed Health and
Education Passports to obtain foster children’s
necessary mental health information—
including psychotropic medications and
psychosocial services—for inclusion in Social
Services’ data system.
• A plan to ensure that counties have sufficient
staff available to enter foster children’s mental
health information into Social Services’ data
system and the resources to pay for those staff.
• An agreement on the specific information
related to psychotropic medication—
including but not limited to the medication
name, maximum daily dosage, and court
authorization date—and psychosocial
services and medication follow‑up
appointment information that county staff
must enter into Social Services’ data system
for inclusion in foster children’s Health and
Education Passports.
• Specific directions from Social Services
regarding the correct medication start dates
and court authorization dates counties should
include in its data system and foster children’s
Health and Education Passports.
California State Auditor Report 2018-041 21
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
• An agreement on the training or guidance
Social Services should provide to county
staff members working with Social Services’
data system to ensure that they know how
to completely and accurately update foster
children’s Health and Education Passports.
• An agreement on how the counties will use
information on the new authorization forms
that the Judicial Council approved to better
oversee the prescription of psychotropic
medications to foster children.
• An agreement regarding how counties
will implement, use, or disseminate the
educational and informational materials the
Quality Improvement Project has produced,
including the California Guidelines for the Use
of Psychotropic Medication with Children and
Youth in Foster Care, Questions to Ask About
Medications, and the Foster Youth Mental Health
Bill of Rights.
• An agreement on the specific measures
and the best available sources of data the
State and counties will use to oversee foster
children prescribed psychotropic medications,
including psychosocial services and medication
follow‑up appointments.
• An agreement on how the State and counties
will oversee psychotropic medications
prescribed to foster children by fee‑for‑service
providers who are not affiliated with county
Medi‑Cal mental health plans.
• An agreement on the extent of information
related to psychotropic medications prescribed
to foster children that counties will include in
the self‑assessments, system improvement
plans, and annual progress reports they
develop as part of Social Services’ California
Child and Family Services Reviews.
• An agreement on the extent of the information
related to psychotropic medications prescribed
to foster children that counties will include
in their responses to Health Care Services’
reviews, including its county Medi‑Cal mental
health plan compliance reviews and external
quality reviews.
Child Welfare Services: The 40. To promote continued improvement in the Child 3 May 2019
County Child Welfare Services Welfare Services (CWS) system, Social Services
Agencies We Reviewed Must should encourage each county CWS agency to
Provide Better Protection for designate personnel to update regularly their
Abused and Neglected Children
policies and procedures, to include a detailed
2013-110 (April 2014) description of the need for ongoing supervisory
reviews of key aspects of their respective service
processes and incorporate that description
into their policies and procedures, and to
designate personnel to perform regular quality
assurance reviews.
41. To promote continued improvement in the CWS 3 March 2019
system, Social Services should ask each county
CWS agency to report to Social Services on the
status of these efforts within 60 days, six months,
and one year from the publication of this
audit report.
continued on next page . . .
22 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
Follow-Up—California 4. To ensure that counties’ use of foster family 2 February 2019
Department of Social Services: agency placements is justified, Social
Although Making Progress, It Services should take action to implement the
Could Do More to Ensure the recommendation we previously made in our 2011
Protection and Appropriate
audit. Specifically, Social Services should require
Placement of Foster Children
counties to give licensed foster homes a higher
2015-502 (July 2015)
priority than foster family agencies for children
that do not have identified treatment needs.
5. To ensure that counties’ use of foster family 2 Will Not
agency placements is justified, Social Implement
Services should take action to implement the
recommendation we previously made in our 2011
audit. Specifically, Social Services should require
counties to prepare a detailed justification for any
child placed with a foster family agency.
Follow-Up—California 4. To ensure that all counties consistently gauge the 3 June 2019
Department of Social cost‑effectiveness of their early fraud detection
Services: It Has Not Corrected activities and ongoing investigation efforts for the
Previously Recognized California Work Opportunities and Responsibilities
Deficiencies in Its Oversight
to Kids (CalWORKs) and CalFresh programs, Social
of Counties’ Antifraud Efforts
for the CalWORKs and Services should develop a formula to regularly
CalFresh Programs perform a cost‑effectiveness analysis using
2015-503 (June 2015) information that the counties currently submit.
Specifically, this formula should measure the
savings that a county achieves for each dollar
spent on antifraud efforts.
5. To ensure that all counties consistently gauge the 3 June 2019
cost‑effectiveness of their early fraud detection
activities and ongoing investigation efforts for the
California Work Opportunities and Responsibilities
to Kids (CalWORKs) and CalFresh programs, Social
Services should develop a formula to regularly
perform a cost‑effectiveness analysis using
information that the counties currently submit.
Specifically, this formula should measure the
savings that a county achieves for each dollar
spent on antifraud efforts.
6. To make certain that counties receive the greatest 3 June 2019
benefit from the resources they spend on
antifraud efforts related to CalWORKs and CalFresh
cases, Social Services should seek to replicate the
most cost‑effective practices among all counties.
Social Services should work with its legal counsel
to determine whether to withhold information
about these practices from public disclosure.
7. Social Services should track counties’ prosecution 3 Will Not
thresholds for welfare fraud cases and determine Implement
whether they affect counties’ decisions to
investigate potential fraud, with a focus on
determining best practices and cost‑effective
thresholds. If Social Services’ analysis determines
that varying prosecution thresholds do affect
counties’ decisions, it should then work with
counties to implement the consistent use of these
cost‑effective prosecution thresholds.
9. To make certain that counties receive the greatest 3 June 2019
benefit from the resources they spend on
antifraud efforts related to CalWORKs and CalFresh
cases, Social Services should address and promptly
act on the four remaining recommendations that
its steering committee provided in 2008.
California State Auditor Report 2018-041 23
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
12. To make counties’ review of match lists more 3 June 2019
efficient, Social Services should revive its efforts
to work with the state and federal agencies that
prepare the match lists to address the counties’
concerns about match list formats, content,
and criteria.
In-Home Supportive Services: 2. To reduce the likelihood of inadvertent errors on 1 Will Not
The State Could Do More to replacement timesheets, Social Services should Implement
Help Providers Avoid Future create functionality within Case Management
Payment Delays Information and Payrolling System (CMIPS II) to
2016-128 (March 2017) allow replacement timesheets to be printed with
data that had been submitted correctly on the
original timesheet. Social Services should develop
a plan by August 2017 that outlines actions, such
as assessing the cost and seeking funding from
the Legislature if necessary, that will be taken to
create the functionality.
10. To enable it to track whether EDD is meeting its 1 †
contractual time frame for printing and mailing
timesheets, Social Services should either modify
its current agreement or require in the renewal
of its agreement a method for tracking the time
required to print and mail timesheets. Social
Services should also perform monthly reviews
of the activities performed by EDD and SCO to
ensure compliance with the time frames for each
agreement. Additionally, Social Services should
implement a process to regularly test EDD and
SCO processes to ensure that they are within the
required time frames.
13. Until state law is changed to facilitate providers’ 1 Will Not
efforts to report their time and to reduce the Implement
potential for providers to be inadvertently
suspended from the IHSS program, Social Services
should inform providers of the weekly maximum
number of service hours for each variation in the
length of the month, rather than using a standard
conversion that results in providers claiming more
hours than their recipients are authorized.
14. If the Legislature amends state law as we 1 Will Not
recommend, Social Services should modify Implement
the timesheet format to incorporate the
weekly authorization for services and the new
two‑workweek pay period. Social Services
should also reconfigure its timesheet to require
that all information be entered on one side of
the document, including the signatures of the
provider and recipient.
Department of Developmental Services
California Department of 2. To ensure timelier fee assessments, 3 Will Not
Developmental Services: Its Developmental Services should hold regional Implement
Process for Assessing Fees centers accountable for providing the monthly
Paid by Parents of Children placement reports and copies of information
Living in Residential Facilities
letters required by state regulations. To encourage
Is Woefully Inefficient
and Inconsistent compliance, Developmental Services should
specify in its regional center contracts that
2014-118 (January 2015)
noncompliant regional centers will pay financial
penalties equal to the amount of revenue lost
because of their inaction.
24 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
Department of Developmental 4. To ensure that regional centers are aware of the 2 January 2019
Services: It Cannot Verify benefits, including cost savings to the State that
That Vendor Rates for can be realized by using financial management
In-Home Respite Services Are service (FMS) vendors, DDS should formally
Appropriate and That Regional
communicate to regional centers regarding
Centers and Vendors Meet
Applicable Requirements the model.
2016-108 (October 2016)
5. To ensure that in‑home respite vendors are 2 Will Not
providing quality services and that vendors are Implement
adhering to state requirements, DDS should
issue regulations requiring regional centers to
conduct periodic and ongoing reviews of vendors’
programs, employees, and consumer records.
6. To ensure that in‑home respite vendors comply 2 January 2019
with vendor requirements on an ongoing basis,
DDS should require the regional centers to develop
a process to conduct biennial reviews of the vendor
files the regional centers maintain and document
the outcome of the review in the files. DDS should
require the regional centers to take appropriate
action to ensure that vendors comply, up to and
including terminating the vendorization, if necessary.
7. To ensure that it is providing oversight 2 December 2019
in accordance with state law and federal
requirements, DDS should ensure that it performs
audits of each regional center every two years
as required. In conducting these audits, DDS
should consistently include a review of in‑home
respite services.
Department of Health Care Services
California Department of 3. To ensure that Managed Health Care reaches 2 †
Health Care Services: Improved accurate conclusions during its quarterly
Monitoring of Medi-Cal assessments of the adequacy of provider
Managed Care Health Plans networks, Health Care Services should establish by
Is Necessary to Better Ensure
September 2015 a process to verify the accuracy of
Access to Care
the provider network data it receives from health
2014-134 (June 2015)
plans and forwards to Managed Health Care. For
example, Health Care Services could verify, for a
sample of physicians claimed as part of the health
plans’ provider networks, that health plans have
current written agreements with the providers.
4. To improve the accuracy of provider directories, by 2 †
December 2015 Health Care Services should revise
its processes for monitoring health plans’ provider
directories. Specifically, Health Care Services
should review how each health plan updates and
verifies the accuracy of the directory. In addition,
Health Care Services should identify best practices
and require the plans to adopt those practices.
6. If Health Care Services finds significant errors 2 Undetermined
in a health plan’s provider directory, it should
work with that health plan to identify reasons for
the inaccuracies and require the health plan to
develop processes to eliminate the inaccuracies.
10. To ensure that Health Care Services complies 2 Will Not
with state law, it should increase its oversight Implement
of Managed Health Care to ensure that it
completes the quarterly assessments required
under the agreements.
California State Auditor Report 2018-041 25
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
California Department of 1. To ensure that it provides claiming units with 3 Will Not
Health Care Services: It Should reasonable opportunities to address concerns Implement
Improve Its Administration with its decisions or actions, Health Care Services
and Oversight of School-Based should, within three months, begin preparing
Medi-Cal Programs
regulations to establish and implement a formal
2014-130 (August 2015) appeals process that allows claiming units to
directly appeal Health Care Services’ decisions.
2. To ensure that it provides claiming units with 3 Will Not
reasonable opportunities to address concerns Implement
with its decisions or actions, Health Care
Services should, within three months, inform
all stakeholders, including claiming units, of the
existence of this appeals process.
3. Until the Legislature implements our 3 September 2019
recommendation in Chapter 2, Health Care
Services should immediately resolve weaknesses
in its oversight of local educational consortia and
local governmental agencies to ensure that these
entities sufficiently meet their responsibilities
under the administrative activities program and
meet the terms of their contracts with Health Care
Services. Health Care Services should update its
site review and desk review procedures to include
the following steps:
* A risk‑based approach to selecting entities
for review.
* Verification that local educational consortia
and local governmental agencies are
adequately meeting the oversight and
administrative responsibilities described in
their contracts with Health Care Services.
* Verification that contracts between local
educational consortia or local governmental
agencies and their claiming units do not
include provisions that could result in
disallowed costs, such as allowing Health Care
Services’ participation fee to be included in the
claim calculations.
* Examination of local educational consortia
and local governmental agencies’ records to
ensure that:
– Costs they claim for federal reimbursement
are necessary and reasonable.
– The entities are not inappropriately earning
a profit based on the fees they collect from
claiming units.
– The coding performed by local educational
consortia that charge claiming units a
percentage of their federal reimbursement
is reasonably accurate.
4. Until the Legislature implements our 3 †
recommendation in Chapter 2, Health Care
Services should immediately resolve weaknesses
in its oversight of local educational consortia and
local governmental agencies to ensure that these
entities sufficiently meet their responsibilities
under the administrative activities program and
meet the terms of their contracts with Health Care
Services. Health Care Services should complete
the oversight reviews for at least three high‑risk
local educational consortia or local governmental
agencies by December 31, 2015, and post the
results to its website.
continued on next page . . .
26 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
5. Until the Legislature implements our 3 September 2019
recommendation in Chapter 2, Health Care
Services should immediately resolve weaknesses
in its oversight of local educational consortia and
local governmental agencies to ensure that these
entities sufficiently meet their responsibilities
under the administrative activities program and
meet the terms of their contracts with Health Care
Services. Health Care Services should complete
the oversight reviews for any remaining high‑risk
local educational consortia or local governmental
agencies by June 30, 2016, and post the results to
its website.
8. To minimize the risk that claiming units could 3 †
include unallowable costs when calculating their
reimbursement claims, Health Care Services
should remind all local educational consortia and
local governmental agencies that contracts with
their claiming units should prohibit claiming units
from seeking federal reimbursement of Health
Care Services’ participation fee.
10. To streamline the organizational structure of its 3 Will Not
administrative activities program and to improve Implement
the program’s cost‑effectiveness, Health Care
Services should implement a single statewide
quarterly random moment time survey and
develop and implement a plan to take over
responsibility for conducting quarterly time
surveys and performing related activities as soon
as reasonably possible.
11. To streamline the organizational structure of its 3 July 2024
administrative activities program and to improve
the program’s cost‑effectiveness, Health Care
Services should implement a single statewide
quarterly random moment time survey and
develop and issue a request for proposals
to identify a responsible vendor to assist in
implementing a statewide quarterly random
moment time survey.
12. To streamline the organizational structure of its 3 August 2020
administrative activities program and to improve
the program’s cost‑effectiveness, Heath Care
Services should implement a single statewide
quarterly random moment time survey and draft
revisions to regulations as appropriate and to
applicable documents, including the manual,
oversight strategies and plans, and policy and
procedure letters.
13. To the extent that local educational consortia 3 Will Not
and local governmental agencies are no longer Implement
involved in the administrative activities program,
Health Care Services should develop and issue
a standard contract for claiming units to sign to
participate in the program.
California State Auditor Report 2018-041 27
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
17. To better maximize federal reimbursements for 3 †
the administrative activities program, Health Care
Services should, within six months, develop and
implement a method to oversee and track the
outreach efforts that local educational consortia
and local governmental agencies use for ensuring
that nonparticipating claiming units understand
the benefits and consider participating in the
administrative activities program.
21. To provide the public with the ability to 3 August 2020
participate fully in developing the rules governing
the administrative activities program, Health Care
Services should, in accordance with California’s
Administrative Procedure Act, immediately
develop and adopt the regulations cited in the
four subdivisions of Section 14132.47 of the
Welfare and Institutions Code.
California Department of 20. To prevent the certification of ineligible providers, 4 †
Health Care Services: Its Failure Health Care Services should immediately establish
to Properly Administer the a mechanism to identify the number of program
Drug Medi-Cal Treatment sites the provider applicants’ medical directors
Program Created Opportunities
work at, and ensure that the physician ratio does
for Fraud
not exceed 1‑to‑3 in accordance with state law
2013-119 (August 2014)
and the certification standards.
California Department 4. To ensure that child beneficiaries throughout 3 July 2019
of Health Care Services: California can reasonably access dental services
Weaknesses in Its Medi-Cal under Medi‑Cal and to increase child beneficiary
Dental Program Limit utilization and provider participation, Health
Children’s Access to Dental Care
Care Services should take the following steps for
2013-125 (December 2014) the fee‑for‑service delivery system by May 2015:
immediately take action to resolve any declining
trends identified during its monitoring efforts.
5. To help increase the number of providers 3 December 2018
participating in the program’s fee‑for‑service
delivery system, Health Care Services should
improve its identification and implementation of
changes that minimize or simplify administrative
processes for providers. These changes should
include revising its processes pertaining to
dental procedures that require radiographs
or photographs.
7. To ensure that the influx of beneficiaries resulting 3 July 2019
from recent changes to federal and state law is
able to access Medi‑Cal's dental services, Health
Care Services should immediately take action to
resolve any declining trends identified during its
monitoring efforts.
19. To ensure that it reports in the U.S. Department of 3 †
Health and Human Services’ Centers for Medicare
and Medicaid Services (CMS) an accurate number
of child beneficiaries who received specific types
of dental services from the centers and clinics,
Health Care Services should continue working
on a solution to capture the details necessary to
identify the specific dental services rendered.
continued on next page . . .
28 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
20. To make certain that it meets the requirements 3 Will Not
of the new state law and that its performance Implement
measures are accurate, Health Care Services
should establish the provider‑to‑beneficiary
ratio statewide and by county as performance
measures designed to evaluate access and
availability of dental services and include
this measure in its October 2015 report to
the Legislature.
23. To ensure that Health Care Services and its fiscal 3 June 2019
intermediaries reimburse providers only for
services rendered to eligible beneficiaries, Health
Care Services should obtain Social Security's Death
Master File and update monthly its beneficiary
eligibility system with death information.
24. To ensure that Health Care Services and its 3 †
fiscal intermediaries reimburse providers only
for services rendered to eligible beneficiaries,
Health Care Services should coordinate with
the appropriate fiscal intermediaries to recover
inappropriate payments made for services
purportedly rendered to deceased beneficiaries,
if necessary.
California's Foster Care System: 33. To increase the State's assurance that foster 2 †
E The State and Counties Have children do not receive medically inappropriate
Failed to Adequately Oversee or unnecessary psychotropic medications, Health
the Prescription of Psychotropic Care Services should devise and implement
Medications to Children in
within six months methods to better enforce its
Foster Care
prior authorization requirement for the off‑label
2015-131 (August 2016)
use of psychotropic medications. For example,
Health Care Services should revise its claims
system to automatically prompt pharmacists to
submit treatment authorization requests when
filling prescriptions for Medi‑Cal beneficiaries
under age 18 when the prescribed psychotropic
medications have no FDA‑approved pediatric
uses. Furthermore, as part of its collaboration
with Social Services and the counties to develop
and implement a reasonable oversight structure,
Health Care Services should determine whether
information from the Judicial Council's revised
court authorization forms would help it better
enforce its prior authorization requirements.
Mental Health Services Act: 2. To ensure that it monitors counties to the 5 January 2019
The State’s Oversight Has fullest extent as the Mental Health Services Act
Provided Little Assurance of (MHSA) specifies and that it implements best
the Act’s Effectiveness, and practices, Health Care Services should conduct
Some Counties Can Improve
comprehensive on‑site reviews of county MHSA
Measurement of Their
Program Performance programs, including verifying county compliance
with MHSA requirements.
2012-122 (August 2013)
3. To ensure that counties have the needed guidance 5 Summer 2019
to implement and evaluate their MHSA programs,
Health Care Services should coordinate with the
Accountability Commission and issue guidance or
regulations, as appropriate, for Facilities programs
and for other MHSA requirements, such as a
prudent reserve.
California State Auditor Report 2018-041 29
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
5. "To ensure that counties have the needed 5 June 2019
guidance to implement and evaluate their
MHSA programs, Health Care Services should
collaborate with the Accountability Commission
to develop and issue guidance or regulations, as
appropriate, to counties on how to effectively
evaluate and report on the performance of their
MHSA programs.
6. To ensure that Health Care Services and other June 2019 June 2020
state entities can evaluate MHSA programs and
assist the Accountability Commission in its efforts,
Health Care Services should collect complete and
relevant MHSA data from the counties.
18. Health Care Services should develop standardized 5 December 2020
data collection guidelines or regulations, as
appropriate, that will address inconsistencies in
the data that counties report to the State. In
developing these guidelines or regulations,
Health Care Services should consult with the
Accountability Commission to ensure that
data collected reasonably fulfill statewide
evaluation purposes.
19. To help ensure county compliance with 5 January 2019
stakeholder regulations, Health Care Services
should provide technical assistance to counties
on the MHSA local planning review process and
ensure that its guidance to counties is clear
and consistent with state regulations.
Department of State Hospitals ll
California Department of State 3. To promote consistency and ensure that it 3 March 2020
Hospitals: It Could Increase the provides sufficient guidance to evaluators,
Consistency of Its Evaluations State Hospitals should update its assessment
of Sex Offenders by Improving protocol by March 2016 to include more specific
Its Assessment Protocol
instructions on how to conduct evaluations, such
and Training
as what assessment instruments evaluators may
2014-125 (March 2015)
use and what documents they should consider.
State Hospitals should also develop a timeline for
periodically reviewing and making any necessary
updates to the assessment protocol.
4. To comply with state law, State Hospitals should 3 March 2020
ensure that it follows the Administrative Procedure
Act for future changes to its standardized
assessment protocol.
HIGHER EDUCATION
The California State University
California State University: 3. To improve the oversight of CSU's management 1 January 2020
Stronger Oversight Is personnel, the Chancellor's Office should work
Needed for Hiring and with campuses, bargaining unit representatives,
Compensating Management the Public Employment Relations Board, and
Personnel and for Monitoring
others as necessary to come to an agreement on
Campus Budgets
the appropriate classification of coaches. The
2016-122 (April 2017)
Chancellor's Office should take into account
the concerns that San Diego State has raised
about the labor market for these employees.
continued on next page . . .
30 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
10. The Chancellor's Office should finish developing 1 December 2022
the Common Human Resources System and
implement it as scheduled by December 2019.
11. Once it receives the results of its consultant's study 1 January 2020
on executive compensation, the Chancellor's
Office should collaborate as soon as possible
with interested parties, such as the LAO, to
develop methodologies for future compensation
comparisons that consider total compensation.
University of California
Sexual Harassment and Sexual 49. The Office of the President should clarify in the 4 July 2019
C Violence: California Universities UC policies that a complainant must have and
Must Better Protect Students be informed about the right to end the early
by Doing More to Prevent, resolution process at any time and request that his
Respond to, and Resolve
or her complaint be handled under the university's
Incidents
formal process.
2013-124 (June 2014)
51. The Office of the President should clarify in the 4 July 2019
UC policies that if university officials approve
an extension to an investigative timeline, the
extension should be restricted to a single
extension of no more than 30 days, except
in limited circumstances that are beyond the
university's control.
The University of California 4. To determine the amount of money that it can 1 †
G Office of the President: It Failed reallocate to campuses and to ensure that it
to Disclose Tens of Millions in publicly presents comprehensive and accurate
Surplus Funds, and Its Budget budget information, by April 2018 the Office of
Practices Are Misleading
the President should develop a reserve policy that
2016-130 (April 2017) governs how large its reserves should be and the
purposes for which they can be used.
5. To determine the amount of money that it can 1 †
reallocate to campuses and to ensure that it
publicly presents comprehensive and accurate
budget information, by April 2018 the Office of the
President should implement our recommended
budget presentation shown in Figure 11 on
page 40. Specifically, the Office of the President’s
budget presentation to the regents should include
a comparison of its proposed budget to its actual
expenditures for the previous year. It should also
include all its expenditures and identify changes
to the discretionary and restricted reserves. The
Office of the President should combine both
the disclosed and undisclosed budgets into one
budget presentation.
The University of California 8. To ensure that the university achieves its goals 1 †
Office of the President: It of obtaining services at the lowest cost or best
Has Not Adequately Ensured value and of providing vendors with fair access
Compliance With Its Employee to contracting opportunities, the Office of the
Displacement and Services
President should revise the university's contract
Contract Policies
manual to incorporate the best practices found
2016-125.1 (August 2017)
in the State Contracting Manual for limiting
the use of amendments to repeatedly extend
existing contracts.
9. To ensure that the university achieves its goals 1 †
of obtaining services at the lowest cost or
best value and of providing vendors with fair
access to contracting opportunities, the Office
of the President should revise the university's
contract manual to narrow the exemption from
competition to only selected professional services,
similar to the State Contracting Manual.
California State Auditor Report 2018-041 31
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
12. To maximize benefits from the systemwide 1 †
procurement initiative and to ensure that the
university uses those benefits for its teaching,
research, and public service missions, the Office of
the President should direct all university locations
to provide better documentation to substantiate
actual benefits they claim related to their
procurement decisions.
13. To maximize benefits from the systemwide 1 †
procurement initiative and to ensure that the
university uses those benefits for its teaching,
research, and public service missions, the Office of
the President should revise its guidance to ensure
the benefits that university locations claim result
from only procurement‑related activities.
15. To maximize benefits from the systemwide 1 Spring 2019
procurement initiative and to ensure that the
university uses those benefits for its teaching,
research, and public service missions, the Office of
the President should study ways to measure actual
procurement benefits—possibly focusing this
effort on benefits from larger dollar amounts—
and if such measurement is not possible, it should
clearly disclose to the regents and the public that
the amounts it reports are based on estimates.
16. To maximize benefits from the systemwide 1 Spring 2019
procurement initiative and to ensure that the
university uses those benefits for its teaching,
research, and public service missions, the Office
of the President should, if actual benefits are
measurable, implement a process to monitor and
report annually to the regents the estimated and
actual benefits.
The University of California: 1. To meet its commitment to California residents, 2 †
Its Admissions and Financial the university should replace its "compare
Decisions Have Disadvantaged favorably" policy with a new admission standard
California Resident Students for nonresident applicants that reflects the
2015-107 (March 2016) intent of the Master Plan for Higher Education
in California (Master Plan). The admission
standard should require campuses to admit only
nonresidents with admissions credentials that
place them in the upper half of the residents
it admits.
2. To meet its commitment to California residents, 2 2020 – Aligned
the university should amend its referral process by with UC Merced
taking steps to increase the likelihood that referred 2020 Project
residents ultimately enroll.
3. To ensure that campuses’ interpretations of 2 †
admission standards do not adversely impact
residents, the university should implement
a thorough process to annually evaluate the
qualifications of students who apply and students
who are admitted. These evaluations should
highlight instances when campuses admit
nonresidents who are less qualified than residents
and should include corrective action steps.
Moreover, this evaluation should include resident
and nonresident undergraduate enrollment in
majors at each campus. The university should
make the results of this evaluation—including
details of the academic qualifications of students
who applied and who were admitted—
publicly available.
continued on next page . . .
32 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
8. To ensure the reasonableness of the compensation 2 June 2019
the university pays its executives, it should
include—to the extent possible— all items of
compensation when setting or adjusting salaries
and benefits, when conducting surveys and
studies, and when comparing the compensation
packages of its executives to those in similar
positions outside the university.
10. To improve the transparency and timeliness of its 2 Will Not
annual compensation report, the university should Implement
streamline the process it uses to prepare the
report so it can be issued by April of each year.
12. To maximize the savings and new revenue from 2 Ongoing
the Working Smarter initiative and ensure that
the university uses them for its academic and
research missions, the Office of the President
should immediately require that the campuses
fully participate in all projects unless they can
provide compelling evidence demonstrating a
harmful effect.
13. To maximize the savings and new revenue from 2 †
the Working Smarter initiative and ensure that the
university uses them for its academic and research
missions, the Office of the President should, by
June 30, 2016, to the extent possible, implement
a process to centrally direct these funds to ensure
that campuses use them to support the core
academic and research missions of the university.
14. To maximize the savings and new revenue from 2 June 2019
the Working Smarter initiative and ensure that
the university uses them for its academic and
research missions, the Office of the President
should ensure that it substantiates that projects
are actually generating savings and new revenue
and that it can demonstrate how the university
uses these funds.
15. To ensure that its recruiting efforts benefit 2 †
residents, the university should prioritize
recruiting residents over nonresidents. In
particular, the university should focus its recruiting
efforts broadly to ensure that it effectively
recruits resident underrepresented minorities. For
example, the university could establish a limit on
the amount of funds it dedicates to nonresident
recruiting. Further, it should develop a process
to better track its nonresident and resident
recruiting expenditures.
16. To determine if the campuses are using funds to 2 June 2019
further the goals of the University of California
system and the Legislature, the Office of the
President should begin regularly monitoring and
analyzing how campuses are using both state
funds and nonresident supplemental tuition. If,
after the close of the fiscal year, the Office of the
President determines that campuses are not using
state funds and/or nonresident supplemental
tuition in accordance with those goals, the Office
of the President should take steps to correct the
campuses' spending decisions as soon as possible.
17. To ensure that it spends state funds prudently for 2 †
programs that do not directly relate to educating
students, the university should track spending
from state funds for programs that do not relate to
educating students.
California State Auditor Report 2018-041 33
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
18. To ensure that it spends state funds prudently for 2 †
programs that do not directly relate to educating
students, the university should reevaluate these
programs each year to determine whether
they continue to be necessary to fulfill the
university’s mission.
19. To ensure that it spends state funds prudently for 2 †
programs that do not directly relate to educating
students, the university should explore whether
the programs could be supported with alternate
revenue sources.
22. To ensure that its rebenching efforts lead to 2 September 2020
equalized per‑student funding among the
campuses, the university should adopt a
methodology that it can use, at least every three
to five years, to update its weighting system
to ensure the weight factors take into account
campuses' actual costs of instruction, using the
cost study that we recommend in Chapter 1 and
other revenue sources if necessary.
23. To ensure that its rebenching efforts lead to 2 Will Not
equalized per‑student funding among the Implement
campuses, the university should exclude from
its rebenching calculation all state funding it
uses for programs that do not directly relate to
educating students. The university should exclude
these programs only after it has evaluated them
in accordance with the recommendation we
made previously.
University of California, Berkeley
Sexual Harassment and 58. All universities should ensure that the differences 4 June 2019
E Sexual Violence: California between an informal or early resolution process
Universities Must Better and a formal investigation process are clearly
Protect Students by Doing explained to ensure that students know what to
More to Prevent, Respond to,
expect from each process. Further, they should
and Resolve Incidents
explain that students whose cases are being
2013-124 (June 2014)
handled under an informal or early resolution
process have the right to move to a formal process
at any time.
University of California, Board of Regents
The University of California 7. To ensure the ongoing accountability of the Office 1 April 2020
G Office of the President: It Failed of the President, the regents should require it to
to Disclose Tens of Millions in implement our recommendations and report
Surplus Funds, and Its Budget periodically on its progress.
Practices Are Misleading
2016-130 (April 2017) 9. To ensure that the Office of the President’s 1 October 2018
financial safeguards are adequate, the regents
should require the Office of the President to
engage in a financial audit of only the Office of the
President’s operations.
14. To ensure that the Office of the President's staffing 1 April 2020
levels are justified and that costs are reasonable
and align with the needs of campuses and
other stakeholders, the regents should require
the Office of the President to implement our
recommendations and report periodically on
its progress.
continued on next page . . .
34 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
15. To ensure that the Office of the President is 1 April 2020
engaging in a thorough review of its systemwide
and administrative costs and implementing
our recommendations, the regents should
develop a contract for an independent third
party that can assist the regents in monitoring
implementation of the three‑year corrective
action plan for the Office of the President. The
independent third party should have expertise
in higher education, public administration, and
public finance. Moreover, the independent third
party should have complete access to the Office
of the President's documentation and its staff so
that it has sufficient and appropriate information
to verify the Office of the President's actions.
The independent third party should report
to the regents on the Office of the President's
progress, challenges, and barriers to success at
least quarterly.
17. To ensure that the Office of the President is 1 April 2020
engaging in a thorough review of its systemwide
and administrative costs and implementing our
recommendations, the regents should require
the Office of the President to implement our
recommendations and report periodically on its
progress in doing so.
University of California, Davis
University of California, 4. UC Davis should collect all late fees that its 3 †
Davis: It Has Not Identified licensees owe.
Future Financing for the
Strawberry Breeding
Program nor Collected All
Available Revenues
2014-121 (June 2015)
University of California, Los Angeles
Sexual Harassment and 9. To help ensure that university faculty and staff 4 January 2019
C Sexual Violence: California do not mishandle student reports of incidents, all
Universities Must Better faculty and staff should receive training annually,
Protect Students by Doing consistent with their role, on their obligations in
More to Prevent, Respond to,
responding to and reporting incidents of sexual
and Resolve Incidents
harassment and sexual violence.
2013-124 (June 2014)
21. All universities should provide their education 4 †
on sexual harassment and sexual violence to
incoming students as close as possible to when
they arrive on campus but no later than the
first few weeks of their first semester or quarter.
Further, universities should provide periodic
refresher educational programs, at least annually,
to all students on campus to ensure that they are
aware of how to handle and report incidents of
sexual harassment and sexual violence.
59. All universities should ensure that the differences 4 June 2019
between an informal or early resolution process
and a formal investigation process are clearly
explained to ensure that students know what to
expect from each process. Further, they should
explain that students whose cases are being
handled under an informal or early resolution
process have the right to move to a formal process
at any time.
California State Auditor Report 2018-041 35
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
K – 12 EDUCATION
California Department of Education
California Department of 2. To demonstrate its willingness to fairly evaluate 5 Will Not
Education: Despite Some regional expenditures, Education should allow Implement
Improvements, Oversight of San Joaquin to reimburse its general fund for the
the Migrant Education Program vehicle purchase Education incorrectly disallowed.
Remains Inadequate
2012-044 (February 2013)
14. To address a lack of detailed migrant program 5 March 2019
service and outcome data, Education should either
expand the capabilities of its existing statewide
databases or implement additional systems that
would allow regions to capture more detailed data
about migrant students.
California Department of 1. To strengthen its administrative reviews and 1 Will Not
R Education: It Has Not Ensured help ensure that school food authorities comply Implement
That School Food Authorities with the Buy American requirement, Education
Comply With the Federal Buy should update its written procedures to include
American Requirement
a requirement that reviewers collect and retain
2016-139 (July 2017) evidence for all items they evaluate for compliance
with the Buy American requirement. This update
should occur no later than October 1, 2017.
School Library Services: 22. To better understand the condition of school 1 Partially
P Vague State Laws and a Lack libraries statewide and to raise stakeholders’ Implemented
of Monitoring Allow School awareness of the State Education Board’s adopted
Districts to Provide a Minimal model standards, Education should work with
Level of Library Services
Teacher Credentialing to assist it in identifying
2016-112 (November 2016) potential misassignments by providing staffing
information reported by school districts to Teacher
Credentialing by April of each academic year.
23. To better understand the condition of school 1 Will Not
libraries statewide and to raise stakeholders' Implement
awareness of the State Education Board's adopted
model standards, Education should identify school
districts that reported employing significantly
fewer teacher librarians in fiscal year 2015‑16 than
in previous years and verify the accuracy of their
fiscal year 2015‑16 reports.
School Safety and 19. To provide stronger leadership with respect 5 Will Not
Nondiscrimination Laws: Most to school safety and nondiscrimination laws, Implement
Local Educational Agencies Do Education, with direction from the superintendent
Not Evaluate the Effectiveness of public instruction, should use data from
of Their Programs, and the
the kids survey and reported suspensions and
State Should Exercise Stronger
Leadership expulsions to evaluate the levels of discrimination,
harassment, intimidation, and bullying students
2012-108 (August 2013)
encounter and to determine the effectiveness of
its own and the local education agency’s (LEA)
efforts, and report the results to the Legislature by
August 1, 2014.
School Violence Prevention: 8. To ensure that districts, county offices, and schools 1 December 2019
Q School Districts, County Offices receive guidance on a variety of safety issues and
of Education, and the State to comply with state law, CDE and DOJ should
Must Do More to Ensure That resume their partnership activities, as required by
School Safety Plans Help
state law. Further, the partnership should update
Protect Students and Staff
During Emergencies the 2002 handbook, Safe Schools: A Planning
Guide for Action, and distribute it to all districts
2016-136 (August 2017)
and county offices. If CDE or DOJ determine
the need for additional funds to implement the
legislative recommendations or to reestablish the
partnership's activities, they should request those
funds from the Legislature.
continued on next page . . .
36 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
Student Mental Health 3. To ensure that all LEAs comply with federal 2 Will Not
N Services: Some Students’ special education requirements, Education should Implement
Services Were Affected by require them to include directly in a student’s
a New State Law, and the individualized education program (IEP) document
State Needs to Analyze
reasons for any changes to student placement
Student Outcomes and Track
Service Costs or services.
2015-112 (January 2016)
8. To enable it to review additional areas of its 2 Will Not
special education program for quality assurance, Implement
Education should collect information about
the frequency of the provision of each service
contained in all students' individualized education
programs (IEP). Education should then use this
information to annually review the frequency of
mental health services and follow up with SELPAs
when it observes a significant reduction in the
frequency of services.
9. To ensure that LEAs comply with federal and 2 Will Not
state requirements, Education should require all Implement
LEAs to use the IEP document to communicate
the rationale for residential treatment and any
potential harmful effects of such placement.
18. Education should analyze and report to the 2 Will Not
Legislature, by May 30, 2016, on the outcomes Implement
for students receiving mental health services
statewide, including outcomes across the six
performance indicators we identified, in order to
demonstrate whether those services are effective.
Once it has reported this statewide information,
Education should provide each LEA throughout
the State a report regarding the outcomes for the
students the LEA served.
20. To ensure that the State knows the amount LEAs 2 Will Not
spend to provide mental health services for Implement
student IEPs, before the start of the 2017–18 fiscal
year, Education should develop, and require all
LEAs to follow, an accounting methodology to
track and report expenditures related to special
education mental health services.
29. To ensure that the State provides special 2 Will Not
education and related services to all eligible Implement
students, Education should investigate the
difference between the estimated number of
school aged children statewide who have a
severe emotional disturbance and the number
receiving mental health services through an IEP
and determine the reason for such a discrepancy.
Education should then take any steps necessary to
assist LEAs in identifying and providing services to
children who are severely emotionally disturbed.
Uniform Complaint Procedures: 3. To ensure that it consistently processes complaints 1 Will Not
The California Department and appeals in a timely manner and that it Implement
of Education’s Inadequate investigates and reviews all Uniform Complaint
Oversight Has Led to a Lack of Procedures (UCP) complaints and appeals in
Uniformity and Compliance in
compliance with state law and regulations, by July
the Processing of Complaints
and Appeals 2017 Education should designate a central office
to receive all complaints and appeals. This central
2016-109 (January 2017)
office should distribute complaints and appeals to
the correct divisions for investigation or review.
California State Auditor Report 2018-041 37
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
4. To ensure that it consistently processes 1 †
complaints and appeals in a timely manner
and that it investigates and reviews all UCP
complaints and appeals in compliance with
state law and regulations, by July 2017 Education
should designate a central office to receive all
complaints and appeals. This central office should
establish a single database to record and track
all investigations of complaints and reviews of
appeals. This database should capture all data
necessary for Education to effectively make
informed decisions related to UCP complaints
or appeals. At a minimum, the database should
capture the date on which Education received
each complaint or appeal, the date on which
it forwarded the complaint or appeal to the
appropriate division for investigation or review,
and the date on which it sent the decision to the
complainant. The database should also include
the type of complaint or appeal, the LEA involved,
and the decision.
5. To ensure that it consistently processes complaints 1 December 2019
and appeals in a timely manner and that it
investigates and reviews all UCP complaints
and appeals in compliance with state law and
regulations, by July 2017 Education should
designate a central office to receive all complaints
and appeals. This central office should track the
divisions' progress in processing complaints and
appeals to ensure the divisions meet all UCP
requirements, including documenting exceptional
circumstances that constitute good cause for
extending investigations beyond 60 days.
6. To ensure that it consistently processes complaints 1 December 2019
and appeals in a timely manner and that it
investigates and reviews all UCP complaints
and appeals in compliance with state law and
regulations, by July 2017 Education should
designate a central office to receive all complaints
and appeals. This central office should work with
divisions to establish policies and procedures
for the divisions to follow when investigating
UCP complaints and reviewing appeals. The
procedures should identify the individuals or
units responsible for investigating complaints
and reviewing appeals, the steps and time frames
for conducting investigations and reviews, the
requirements for issuing decisions, and the
documentation that should be retained in
the files.
7. To ensure that it consistently processes complaints 1 December 2019
and appeals in a timely manner and that it
investigates and reviews all UCP complaints
and appeals in compliance with state law and
regulations, by July 2017 Education should
designate a central office to receive all complaints
and appeals. This central office should establish
and distribute a standard investigation report
format that includes the required elements for the
divisions to use when processing UCP complaints.
continued on next page . . .
38 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
8. To ensure that it consistently processes complaints 1 †
and appeals in a timely manner and that it
investigates and reviews all UCP complaints
and appeals in compliance with state law and
regulations, by July 2017 Education should
designate a central office to receive all complaints
and appeals. This central office should monitor
the divisions’ decisions and reports on complaints
and appeals to ensure that they comply
with requirements.
9. To ensure that its regulations are consistent and 1 Will Not
align with state and federal requirements, by Implement
July 2017 Education should initiate revising its
regulations to require its divisions to complete
investigations of complaints and reviews of
appeals related to all programs within 60 days of
Education receiving them, including providing
its decisions in writing to complainants,
unless otherwise specified in statute or
federal regulations.
10. To ensure that its regulations are consistent 1 Will Not
and align with state and federal requirements, Implement
by July 2017 Education should initiate revising
its regulations to allow Nutrition Services to
investigate all complaints as direct intervention.
16. To increase the efficiency and effectiveness of 1 Will Not
LEAs’ UCP processes, Education should work Implement
with those LEAs throughout the State that
receive a disproportionately high number of
non‑UCP complaints through the UCP process
to assess the potential benefits of establishing
similar mechanisms.
22. To ensure that its regulations are consistent 1 March 2019
and align with state and federal requirements,
Education should revise its regulations to allow
LEAs to extend investigations under exceptional
circumstances that constitute good cause if the
LEAs document and support with evidence
the reasons for the extensions.
23. After it makes the recommended regulatory 1 December 2019
changes to allow extensions under exceptional
circumstances, Education should review LEAs'
extensions to investigations as part of its Federal
Program Monitoring to ensure that LEAs'
documentation is sufficient and that their reasons
adequately justify such extensions.
28. Education should revise UCP regulations to 1 March 2019
formally establish uniform time limits for filing all
types of complaints.
Commission on Teacher Credentialing
School Library Services: 18. To strengthen its monitoring of staff assignments, 1 †
P Vague State Laws and a Lack Teacher Credentialing should work with
of Monitoring Allow School Education to identify potential misassignments
Districts to Provide a Minimal by comparing annually the staffing information
Level of Library Services
reported by school districts to Education against
2016-112 (November 2016) Teacher Credentialing's credentialing records.
Further, Teacher Credentialing should incorporate
misassignments identified using Education's
data into its existing notification, reporting, and
sanctioning structure. If Teacher Credentialing
believes it needs express statutory authority to do
so, it should seek it.
California State Auditor Report 2018-041 39
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
LEGISLATIVE, JUDICIAL, AND EXECUTIVE
California Department of Justice
Armed Persons With Mental 23. To reduce the risk that it may not identify an 5 July 2019
Illness: Insufficient Outreach armed prohibited person, Justice should revise its
From the Department of electronic matching process to use all personal
Justice and Poor Reporting identifying numbers available in its databases.
From Superior Courts Limit the
Identification of Armed Persons 34. To ensure that it fully supports its decision to apply 5 December 2019
With Mental Illness
federal prohibition terms to individuals, Justice
2013-103 (October 2013) should review all applicable federal and state laws
and continue to seek clarification from the United
States Department of Justice's Bureau of Alcohol,
Tobacco, Firearms, and Explosives (ATF) and any
other appropriate federal agencies to determine
whether California's firearms restoration process
meets federal criteria and, if not, why it does not.
Justice should issue a report to the Legislature,
within one year, detailing the results of its review
and, if applicable, communicate why California's
restoration process does not meet federal criteria
and the impact that it has on prohibited persons
who live in California.
California Department of 18. To ensure that Social Services receives criminal 1 †
F Social Services: Its Caregiver history information within 14 days of receiving
Background Check Bureau an individual's fingerprint information, as state
Lacks Criminal History law requires, by July 2017 Justice should analyze
Information It Needs to Protect
its process, including delayed transmissions;
Vulnerable Populations in
Licensed Care Facilities implement changes to address problems it
identifies; and regularly measure itself against the
2016-126 (March 2017)
requirement to determine whether it is meeting
its statutory requirement.
19. To ensure that it has complete disposition 1 †
information, Justice should coordinate with
the Judicial Council at least once a year to
share information about court reporting
gaps and to determine the need to distribute
additional information to courts about reporting
requirements and the manner in which to report.
In addition, Justice should reconvene its advisory
committee and meet on a regular basis to discuss,
at a minimum, improving the frequency and
timeliness with which courts report dispositions
to Justice and law enforcement agencies report
arrest information to Justice.
20. To ensure that it is receiving all arrest information 1 †
from law enforcement agencies, at a minimum,
Justice should consider trends in the number of
arrest reports each law enforcement agency sends
it and the number of reports that it might expect
to receive from an agency given the agency’s
size, location, and reporting history. Whenever
Justice identifies a law enforcement agency that
it determines may not be reporting all required
information, it should request that the agency
forward all required arrest information.
continued on next page . . .
40 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
School Violence Prevention: 9. To ensure that districts, county offices, and schools 1 Undetermined
Q School Districts, County Offices receive guidance on a variety of safety issues and
of Education, and the State to comply with state law, CDE and DOJ should
Must Do More to Ensure That resume their partnership activities, as required by
School Safety Plans Help
state law. Further, the partnership should update
Protect Students and Staff
During Emergencies the 2002 handbook, Safe Schools: A Planning
Guide for Action, and distribute it to all districts
2016-136 (August 2017)
and county offices. If CDE or DOJ determine
the need for additional funds to implement the
legislative recommendations or to reestablish the
partnership's activities, they should request those
funds from the Legislature.
Sexual Assault Evidence Kits: 4. To report to the Legislature about the effectiveness 3 December 2018
Although Testing All Kits of its Rapid DNA Service (RADS) program and
Could Benefit Sexual Assault to better inform decisions about expanding the
Investigations, the Extent of number of analyzed sexual assault evidence kits,
the Benefits Is Unknown
Justice should amend its agreements with the
2014-109 (October 2014) counties participating in the RADS program to
require those counties to report case outcome
information, such as arrests and convictions
for the sexual assault evidence kits Justice has
analyzed under the program. Justice should then
report annually to the Legislature about those
case outcomes.
The CalGang Criminal 10. As the Legislature considers creating a public 2 January 2020
O Intelligence System: As the program for shared gang database oversight and
Result of Its Weak Oversight accountability, Justice should guide the board
Structure, It Contains and the committee to identify and address the
Questionable Information That
shortcomings that exist in CalGang's current
May Violate Individuals’ Privacy
Rights operations and oversight. The guidance Justice
provides to the board and the committee should
2015-130 (August 2016)
address, but not be limited to, developing best
practices based on the requirements stated in
the federal regulations, the state guidelines and
state law, and advising user agencies on the
implementation of those practices. The best
practices should include, but not be limited to,
reviewing criminal intelligence, appropriately
disseminating information, performing robust
audit practices, establishing plans to recover from
disasters, and meeting all of the State's juvenile
notification law requirements. Justice should
guide the board and the committee to develop
these best practices by June 30, 2017.
11. As the Legislature considers creating a public 2 †
program for shared gang database oversight and
accountability, Justice should guide the board
and the committee to identify and address the
shortcomings that exist in CalGang’s current
operations and oversight. The guidance Justice
provides to the board and the committee
should address, but not be limited to, instructing
user agencies that use CalGang to complete
a comprehensive review of all the gangs
documented in CalGang to determine if they meet
the necessary requirements for inclusion and to
purge from CalGang any groups that do not meet
the requirements. Justice should guide the board
and the committee to ensure that user agencies
complete this review in phases, with the final
phase to be completed by June 30, 2018.
California State Auditor Report 2018-041 41
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
12. As the Legislature considers creating a public 2 †
program for shared gang database oversight and
accountability, Justice should guide the board
and the committee to identify and address the
shortcomings that exist in CalGang’s current
operations and oversight. The guidance Justice
provides to the board and the committee should
address, but not be limited to, instructing all user
agencies to complete a comprehensive review of
the records in CalGang to determine if the user
agencies have adequate support for the criteria
associated with all the individuals they have
entered as gang members. If the user agencies
do not have adequate support, they should
immediately purge the criteria—and, if necessary,
the individuals—from CalGang. In addition, the
user agencies should ensure that all the fields
in each CalGang record are accurate. Justice
should guide the board and the committee to
ensure that user agencies complete this review in
phases, with the final phase to be completed by
September 30, 2019.
13. As the Legislature considers creating a public 2 †
program for shared gang database oversight and
accountability, Justice should guide the board
and the committee to identify and address the
shortcomings that exist in CalGang’s current
operations and oversight. The guidance Justice
provides to the board and the committee should
address, but not be limited to, instructing all user
agencies to report to Justice every six months,
beginning in January 2017, on their progress toward
completing their gang and gang member reviews.
19. To promote transparency and encourage public 2 January 2020
participation in CalGang's meetings, Justice should
post summary results from the committee's
audits of CalGang records to its website unless
doing so would compromise criminal intelligence
information or other information that must be
shielded from public release.
California Department of Tax and Fee Administration#
State Board of Equalization: 2. Unless the Legislature directs the board to 2 July 2019
Its Tobacco Tax Enforcement eliminate the compliance fund's excess fund
Efforts Are Effective and balance within a time frame of more than a
Properly Funded, but Other year, the board should eliminate the excess fund
Funding Options and Cost
balance by June 30, 2017, by using it to offset the
Savings Are Possible
licensing program's annual funding shortfall. The
2015-119 (February 2016)
board should also limit the fund's future balance
to no more than two months' worth of licensing
program expenditures.
California Governor’s Office of Emergency Services**
Special Interest License Plate 11. To make certain that money from the special 5 Will Not
A Funds: The State Has Foregone plate funds pay only for allowable and Implement
Certain Revenues Related to supportable activities, Cal EMA should maintain
Special Interest License Plates documentation to support its charges to the
and Some Expenditures Were
antiterrorism fund. For example, it should
Unallowable or Unsupported
ensure that employees submit signed time
2012-110 (April 2013)
reports to support the time they spend on
antiterrorism‑related activities.
continued on next page . . .
42 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
California Health Facilities Financing Authority
Children’s Hospital Program: 1. The authority should amend its regulations 3 Will Not
The California Health Facilities to bring them into accord with the Children's Implement
Financing Authority Has Hospital Bonds Act of 2004 (2004 act), thus
Generally Complied With Laws allowing any eligible hospital to apply for the
and Regulations and Resolved
2004 act's funds that remained as of June 30, 2014.
Its Issue Related to High
Fund Balances
2015-042 (September 2015)
Judicial Council of California††
Judicial Branch of California: 1. To ensure that the compensation the AOC 3 Will Not
Because of Questionable Fiscal provides is reasonable, the Judicial Council Implement
and Operational Decisions, should adopt procedures that require a regular
the Judicial Council and the and thorough review of the AOC's compensation
Administrative Office of the
practices, including an analysis of the job duties
Courts Have Not Maximized the
Funds Available for the Courts of each position to ensure that the compensation
aligns with the requirements of the position. This
2014-107 (January 2015)
review should include comparable executive
branch salaries, along with a justification when
an AOC position is compensated at a higher level
than a comparable executive branch position.
3. To ensure that its compensation structure is 3 Will Not
reasonable, the AOC should mirror the executive Implement
branch's practices for offering leave buyback
programs in terms of frequency and amount.
4. To increase its efficiency and decrease its travel 3 Will Not
expenses, the AOC should require its directors and Implement
managers to work in the same locations as the
majority of their staff unless business needs clearly
require the staff to work in different locations than
their managers.
11. To reduce its expenses, the AOC should cease 3 Will Not
its excessive reimbursements for meals by Implement
adopting the executive branch's meal and travel
reimbursement policies.
14. To ensure that it spends funds appropriately, the 3 †
AOC should develop and implement controls
to govern how its staff can spend judicial
branch funds. These controls should include
specific definitions of local assistance and
support expenditures, written fiscal policies and
procedures as the rules of court require, and a
review process.
19. The AOC should conduct a comprehensive survey 3 †
of the courts on a regular schedule—at least every
five years—to ensure that the services it provides
align with their responses. The AOC should re‑
evaluate any services that the courts identify as
being of limited value or need.
California State Auditor Report 2018-041 43
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
20. To justify its budget and staffing levels, the AOC 3 Will Not
should conduct the steps in CalHR's workforce Implement
planning model in the appropriate order. It should
begin by establishing its mission and creating a
strategic plan based on the needs of the courts.
It should then determine the services it should
provide to achieve the goals of that plan. The
AOC should base its future staffing changes
on the foundation CalHR's workforce planning
model provides. Finally, the AOC should develop
and use performance measures to evaluate the
effectiveness of this effort.
21. To ensure that it provides services to the trial 3 Will Not
courts as efficiently as possible, the Judicial Implement
Council should explore implementing a fee‑for‑
service model for selected services. These services
could include those that are little used or of lesser
value to the trial courts, as identified in our survey
that we discuss in Chapter 3.
22. To justify the budget and staff level of the AOC, 3 Will Not
the Judicial Council should implement some or all Implement
of the best practices we identified to improve the
transparency of AOC spending activities.
Judicial Branch Procurement: 3. To improve the usefulness of the Judicial Council's 4 Will Not
Semiannual Reports to the semiannual reports until a statutory requirement Implement
Legislature Are of Limited is enacted, the AOC should work with the Judicial
Usefulness, Information Council to pursue a cost‑effective method to
Systems Have Weak Controls,
include new contracts and the complete history of
and Certain Improvements
in Procurement Practices contracts amended during the reporting period in
Are Needed the semiannual reports, including the date of the
2013-302 and 2013-303 original contract; the original contract amount and
(December 2013) duration; all subsequent contract amendments;
and the date, amount, and duration of each
such amendment. The AOC should present this
information beginning with the semiannual
report covering the July 1, 2014, through
December 31, 2014, reporting period.
4. To improve the usefulness of the Judicial Council's 4 Will Not
semiannual reports until a statutory requirement Implement
is enacted, the AOC should work with the Judicial
Council to pursue a cost‑effective method to
begin tracking additional information in its data
systems for inclusion in the semiannual reports.
This information should include whether a
contract was competitively bid, the justification
if it was not competitively bid, and whether the
contract was with a Disabled Veteran Business
Enterprise. For information technology contracts,
the AOC should identify whether the contract was
with a small business. The AOC should present
this information beginning with the semiannual
report covering the July 1, 2014, through
December 31, 2014, reporting period.
continued on next page . . .
44 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
5. The AOC should implement all of the best 4 Undetermined
practices related to general and business
process application controls as outlined in the
U.S. Government Accountability Office's Federal
Information System Controls Audit Manual no later
than December 31, 2014, thereby strengthening
and continuously monitoring the effectiveness
of the controls over its information systems. In
addition, the AOC should immediately begin
implementing improvements to its controls over
access to its information systems and place these
improvements into effect by February 2014.
Finally, the AOC should provide guidance and
routinely follow up with the superior courts—
requiring updates every six months until all
identified issues are corrected—to ensure that
they make the necessary improvements to their
general and business process application controls.
6. The AOC; the Supreme Court; and the first, second, 4 Will Not
and fourth districts should implement procedures Implement
to ensure that they follow a competitive process
for their procurements when required.
13. The AOC should revise the judicial contracting 4 Will Not
manual to require judicial entities to maintain Implement
documentation on their determinations of fair and
reasonable pricing for purchases under $5,000.
17. The AOC should revise the judicial contracting 4 Will Not
manual to require that judicial entities maintain Implement
documentation for their evaluation and selection
process used for competitive procurements.
The AOC should also strengthen its procedures
to ensure that bid evaluations are conducted
properly and calculated correctly.
20. The AOC, Habeas Corpus Resource Center (HCRC), 4 Will Not
Supreme Court, and fourth and fifth districts Implement
should implement procedures to ensure that
required noncompetitive procurement processes,
such as preparing justifications and obtaining
approval for sole‑source procurements, are
properly documented. Additionally, the AOC
should ensure that it prepares the appropriate
documentation when it amends a contract that it
has competitively solicited and the amendment
includes a change that was not evaluated in the
original competitive process.
25. The AOC should implement procedures to ensure 4 Will Not
that its internal controls over payments are Implement
followed and that procurements are approved
before ordering and receiving goods and services.
Secretary of State’s Office
Office of the Secretary of State: 4. To enhance the value of the federal Help America 5 Will Not
It Must Do More to Ensure Vote Act of 2002 (HAVA) spending plan as a Implement
Funds Provided Under the transparency and accountability tool for the
Federal Help America Vote Act Legislature, the Office should make the following
Are Spent Effectively
modifications to its annual HAVA spending plan:
2012-112 (August 2013)
• Clearly state the methodology used to
report prior HAVA expenditures in the HAVA
spending plan. Such a methodology should
use the financial information contained in its
accounting system.
• Reconcile the prior HAVA expenditures with the
year‑end financial reports the Office provides
to the California State Controller’s Office.
• Present prior HAVA expenditures by activity and
by specific appropriation.
California State Auditor Report 2018-041 45
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
5. To ensure the State complies with the National 5 Will Not
Voter Registration Act of 1993 (NVRA), the Office Implement
should take all necessary steps, including seeking
any necessary legislative changes, and work with
the DMV to modify the driver's license application
so that it may simultaneously serve as a form for
voter registration.
Santa Clara County Registrar 11. The Secretary of State should adopt regulations 1 June 2019
S of Voters: Insufficient Policies establishing clear criteria for mistakes in election‑
and Procedures Have Led to related materials that constitute reportable errors
Errors That May Have Reduced and require counties to report these errors to it
Voters’ Confidence in the
after each election.
Registrar’s Office
2017-107 (October 2017) 12. Beginning in December 2018, the Secretary of 1 December 2018
State should implement annual risk‑based reviews
of a selection of county election officials’ offices to
ensure their compliance with state election laws
and regulations.
13. To inform and enhance the guidance it provides 1 June 2019
to county election officials, the Secretary of State
should analyze error reports and its risk‑based
review results to focus its guidance on topics
most relevant to improving elections throughout
the State.
State Bar of California
State Bar of California: It Has 7. To ensure that the audit and review unit’s 3 December 2018
Not Consistently Protected the random audits of closed case files provide an
Public Through Its Attorney effective oversight mechanism, the State Bar
Discipline Process and should follow its policy to conduct and record
Lacks Accountability
meetings and trainings related to the audit
2015-030 (June 2015) report’s recommendations.
The State Bar of California: It 6. To assign purchasing cards only to appropriate 1 †
Needs Additional Revisions to staff, ensure that the State Bar’s records of
Its Expense Policies to Ensure employees’ credit limits reflect those established
That It Uses Funds Prudently with the bank, and to verify that staff use
2017-030 (June 2017) purchasing cards only for allowable and necessary
expenses, the State Bar should immediately
develop a policy that requires justification of
the business needs for employees to receive
purchasing cards, and use this policy to limit the
number of staff issued a purchasing card.
7. To assign purchasing cards only to appropriate 1 †
staff, ensure that the State Bar’s records of
employees’ credit limits reflect those established
with the bank, and to verify that staff use
purchasing cards only for allowable and necessary
expenses, the State Bar should immediately
restrict the use of purchasing cards to its original
purpose, which was for low‑dollar and frequently
occurring purchases. For purchases above $5,000,
the State Bar should require the vendor to bill
for payment.
9. To ensure that its costs are reasonable and 1 †
appropriate, the State Bar should update its meal
and catering policy to align with the meal policy
of the State’s Executive Branch and should require
individuals attending committee meetings for
the State Bar to comply with standard meal
per diem rates.
15. To reduce its reliance on outside legal counsel, the 1 †
State Bar should continue its efforts to hire staff to
fill its remaining vacant attorney positions.
continued on next page . . .
46 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
17. To better measure how well its attorney discipline 1 †
program is meeting the State Bar’s core mission
to protect the public from attorney misconduct,
the State Bar should, by December 2017,
identify key goals and metrics for the attorney
discipline system.
The State Bar of California: 2. To ensure that it maximizes its cost‑recovery 2 December 2018
Its Lack of Transparency efforts related to the Client Security Fund, the
Has Undermined Its State Bar should adopt a policy to file for money
Communications With Decision judgments against disciplined attorneys for all
Makers and Stakeholders
eligible amounts as soon as possible after courts
2015-047 (May 2016) settle the discipline cases.
9. To ensure that it accounts appropriately for 2 January 2019
information technology project costs and their
related funding sources, the State Bar should
develop a reasonable method for allocating
information technology project costs.
10. To ensure that it accounts appropriately for 2 January 2019
information technology project costs and their
related funding sources, the State Bar should apply
its new cost‑allocation method to the costs of its
Technology Improvement Fund.
State Controller’s Office
High Risk Update: State 4. To improve the accuracy of information in the 4 June 2019
Agencies Credited Their leave accounting system and to ensure that
Employees With Millions agencies do not improperly credit employees
of Dollars Worth of with leave in the future, the state controller should
Unearned Leave
implement additional controls by June 2015
2012-603 (August 2014) to prevent the leave accounting system from
processing the types of inappropriate transactions
we identified in our statewide electronic analysis.
For example, it could develop cost‑effective
controls in the leave accounting system that
would prevent employees from receiving annual
leave and sick leave during the same pay period.
NATURAL RESOURCES
California Natural Resources Agency
Special Interest License Plate 15. To make certain that money from the special plate 5 Will Not
A Funds: The State Has Foregone funds pay only for allowable and supportable Implement
Certain Revenues Related to activities, Resources should use all appropriate
Special Interest License Plates funding sources to pay for any expenses that
and Some Expenditures Were
benefit multiple programs in proportion to
Unallowable or Unsupported
the benefits these programs actually receive.
2012-110 (April 2013)
Further, it should ensure that its allocation of
such expenses to different funds is equitable
and supported.
Department of Water Resources
Department of Water 4. To fully comply with state contracting law, DWR 1 February 2019
Resources: The Unexpected should ensure that it competitively selects
Complexity of the California architectural and engineering consultants based
WaterFix Project Has Resulted on demonstrated competence and professional
in Significant Cost Increases
qualifications. In addition, DWR should
and Delays
document in the contract file its evaluation of the
2016-132 (October 2017)
competence and professional qualifications of all
contractors and any subcontractors that are added
to the contract subsequent to the competitive
selection process.
California State Auditor Report 2018-041 47
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
5. To ensure that only qualified subcontractors 1 Will Not
are added to contracts after the initial award is Implement
made, DWR should make sure that contractors
select their own subcontractors and that DWR
subsequently approves the selection after it
verifies their qualifications.
7. To ensure that DWR manages WaterFix in an 1 Forthcoming
effective manner, DWR should complete both
the economic analysis and financial analysis for
WaterFix and make the analyses publicly available
as soon as possible.
9. In order to prepare for the potential approval 1 2019
of WaterFix and to ensure that the project
is managed properly during the design and
construction phase, DWR should develop and
update when necessary the associated program
management plan for the design and construction
phase of the project.
TRANSPORTATION
Department of Motor Vehicles
Department of Motor Vehicles: 7. To reduce the risk of fraudulent applications, by 1 Will Not
Administrative and Statutory September 2017 DMV should seek interagency Implement
Changes Will Improve Its agreements with the health boards responsible for
Ability to Detect and Deter licensing providers authorized to certify disabilities
Misuse of Disabled Person
on placard applications. The agreements should
Parking Placards
include, but not be limited to, a review by medical
2016-121 (April 2017)
experts of a sample of placard applications each
quarter to ensure that the disability certifications
meet state requirements. For any application that
does not meet state requirements, DMV should
require that the applicant and his or her provider
submit the information needed so that the
application meets state requirements. DMV should
cancel the placards of those who do not respond
within 90 days.
8. To reduce the risk of fraudulent applications, by 1 February 2019
September 2017 DMV should seek interagency
agreements with the health boards responsible for
licensing providers authorized to certify disabilities
on placard applications. The agreements
should include, but not be limited to, a process
for the health boards to develop guidance
for medical providers related to how to meet
state requirements.
14. To properly equip its employees with the 1 December 2018
knowledge necessary to identify and report
potential fraud indicators in placard applications,
DMV should provide employees who process
applications with training specific to the types of
fraud that can occur in an application. This training
should be provided by December 2017 and every
other year thereafter.
18. To better equip local parking enforcement 1 December 2018
officials to promptly identify invalid placards,
by December 2018 DMV should develop and
implement an application, database, or other
technology that will allow non‑sworn parking
enforcement officials to have immediate access to
information on placard status.
continued on next page . . .
48 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER, HAS APPEARED IN ESTIMATED DATE CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT OF COMPLETION IMPLEMENTATION RECOMMENDATION
Special Interest License Plate 1. To ensure that programs supported by special 5 Will Not
A Funds: The State Has Foregone plates receive appropriate amounts of revenues Implement
Certain Revenues Related to due to them, DMV should annually collect all fees
Special Interest License Plates for special plates that are no longer on a vehicle
and Some Expenditures Were
but are retained by the plate owner.
Unallowable or Unsupported
2012-110 (April 2013)
3. DMV should assess the extent to which it has 5 Partially
charged fees for special plates that are not Implemented
consistent with those prescribed in statutes and
take appropriate action.
† Contrary to the State Auditor’s determination, the auditee believes it has fully implemented the recommendation.
‡ Before publishing a report of an investigation, the State Auditor provides the head of each department or agency involved with a copy of the
investigative report, including any recommendations. Therefore, in calculating how long a recommendation has been outstanding, the State Auditor
uses the date the investigative report was provided to the department or agency, not the date the report was published. The investigative report for
case I2010-1045 was provided to the California Department of Corrections and Rehabilitation in May 2013. The investigative reports for the cases
published in I2015-1 were provided to the involved departments and agencies in July 2015. The investigative reports for the cases published in
I2016-2 were provided to the involved departments and agencies in June 2016. Lastly, the investigative reports for the cases published in I2017-1
were provided to the involved departments and agencies in January 2017.
§ As of June 2018, the Office of Ratepayer Advocates became the Public Advocates Office.
ll As of July 2012, the California Department of Mental Health became the Department of State Hospitals.
# In July 2017, the State Board of Equalization was restructured and transferred duties to the California Department of Tax and Fee Administration.
** As of July 2013, the California Emergency Management Agency became the California Governor’s Office of Emergency Services.
†† In July 2014, the Judicial Council of California retired the use of Administrative Office of the Courts to refer to the Judicial Council’s staff.
California State Auditor Report 2018-041 49
January 2019
Table 3
Recommendations Made to Nonstate Entities That Are More Than One Year Old and Are Still Not Fully Implemented
(Reports Issued From January 2012 Through October 2017)
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION ESTIMATED SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER HAS APPEARED IN DATE OF CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT COMPLETION IMPLEMENTATION RECOMMENDATION
NONSTATE ENTITIES
Acton‑Agua Dulce Unified School District
Charter Schools: Some 11. To ensure that it has a method to hold 1 October 2018
M School Districts Improperly charter schools accountable for their
Authorized and Inadequately educational programs, Acton‑Agua
Monitored Out-of-District Dulce Unified should, as a best practice,
Charter Schools
strengthen its authorization process
2016-141 (October 2017) by using the State Education Board’s
criteria for evaluating petitions.
12. To ensure compliance with state law, 1 October 2018
Acton‑Agua Dulce Unified should
immediately establish a procedure
to periodically review and update its
charter school policy to include all of
the requirements in state law.
13. To ensure compliance with state law, 1 May 2016
Acton‑Agua Dulce Unified should
immediately review petitions to ensure
they include all of the requirements in
state law at the time of their approval.
15. To ensure compliance with state law, 1 September 2017
Acton‑Agua Dulce Unified should
immediately track its actual costs
for providing oversight and verify
that its oversight fees do not exceed
legal limits.
18. To better ensure effective oversight 1 No Action Taken
of its charter schools’ finances,
Acton‑Agua Dulce Unified should place
a district representative as a nonvoting
member on each charter school’s
governing board.
20. To ensure that charter schools work 1 October 2018
toward the academic goals established
in their charters, Acton‑Agua Dulce
Unified should adopt an academic
oversight policy that includes steps for
working with charter schools with poor
performance results.
22. Acton‑Agua Dulce Unified should 1 October 2018
maintain active memorandums of
understanding with its charter schools
that describe the district’s oversight
responsibilities and ensure the
schools meet the measurable student
outcomes to which they have agreed.
Antelope Valley Union High School District
Charter Schools: Some 30. To better ensure effective oversight 1 September 2018
M School Districts Improperly of its charter schools’ finances,
Authorized and Inadequately Antelope Valley Union should place a
Monitored Out-of-District district representative as a nonvoting
Charter Schools
member on each charter school’s
2016-141 (October 2017) governing board.
continued on next page . . .
50 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION ESTIMATED SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER HAS APPEARED IN DATE OF CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT COMPLETION IMPLEMENTATION RECOMMENDATION
Butte County
Indian Gaming Special 7. To ensure that grant recipients comply 4 †
H Distribution Fund: Counties’ with state law concerning interest
Benefit Committees Did earned on mitigation grant funds, by
Not Always Comply With June 2014, the Butte County benefit
State Laws for Distribution
committee should establish policies
Fund Grants
and procedures to verify that grant
2013-036 (March 2014)
recipients have placed grant awards in
interest‑bearing accounts, and that the
interest is spent only on activities that
mitigate the effect of tribal gaming on
local jurisdictions.
Central Basin Municipal Water District
Central Basin Municipal 23. To ensure it is efficiently using its 2 July 2019
Water District: Its Board resources, the district should eliminate
of Directors Has Failed to its board members’ automobile or
Provide the Leadership transportation allowances and instead
Necessary for It to Effectively
reimburse them based on their
Fulfill Its Responsibilities
business mileage or transit use.
2015-102 (December 2015)
Central Unified School District
Trade Apprenticeship 6. To limit its risk and to clarify its roles 1 February 2019
Programs: The State and responsibilities as they relate
Needs to Better Oversee to ACTA, Central Unified should
Apprenticeship Programs, update its agreement with ACTA
Such as the Air Conditioning
to reflect each party’s current roles
Trade Association’s Sheet
Metal Program and responsibilities. Further, Central
Unified should periodically update
2016-110 (November 2016)
this agreement to ensure that the
agreement continues to reflect current
roles and responsibilities.
City of Indio
City of Indio: Although the 1. The city of Indio should shift a share 3 2024
City Complied With the of the water facilities cost borne
Mello-Roos Act in Forming by Terra Lago's Improvement Area
and Managing Community Number 1 (Area 1) to Improvement
Facilities District No. 2004-3,
Area Number 2 (Area 2) residents in
It Should Do More to
Address Inequities proportion to the benefits Area 2
residents receive from the facilities.
2014-119 (December 2014)
To do so, it should impose through its
Indio Water Authority a water fee on
Area 2 residents and use the related
revenues to reduce the bond debt of
Area 1.
City of Irvine
City of Irvine: Poor 2. To improve fiscal accountability and 2 Will Not
Governance of the to ensure that audits are performed to Implement
$1.7 Million Review of the appropriate standards, Irvine should
Orange County Great Park adopt an internal audit function by
Needlessly Compromised the
December 2017.
Review’s Credibility
2015-116 (August 2016) 6. To make certain that Irvine complies 2 Will Not
with the intent of competitive bidding Implement
for professional services, beginning
immediately it should not include
provisions in its RFPs for potential
future services that are above and
beyond the desired scope of work.
California State Auditor Report 2018-041 51
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION ESTIMATED SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER HAS APPEARED IN DATE OF CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT COMPLETION IMPLEMENTATION RECOMMENDATION
9. To maintain appropriate, transparent 2 Will Not
fiscal accountability, Irvine should Implement
amend city contracting and purchasing
policies by December 2016 to make
certain that all of its contracts and
contract amendments with a proposed
cost exceeding the threshold requiring
city council or other approval receive
the appropriate approvals, including
approval for sole‑source contracts.
Further, city policies should require
appropriate approvals when increases
in spending authority are accomplished
through a purchase order or
other means.
10. To provide the public with adequate 2 Will Not
information regarding the city council's Implement
spending decisions, Irvine's city council
should, by December 2016, include in
its policies a requirement that motions
by the council to appropriate revenue
to fund a specific contract should name
the recipients and proposed use of
the funds.
11. To foster public confidence in its 2 Will Not
processes and findings, Irvine should Implement
conduct self‑initiated investigations,
reviews, or audits in an open and
transparent manner that ensures
independence. Specifically, Irvine
should not establish advisory bodies
exempt from open meeting laws to
oversee these investigations, reviews,
or audits. Instead, any required reports
from contractors conducting such
investigations, reviews, or audits should
go to the city council or a standing
committee of the city council to be
discussed in either open or closed
session, as appropriate.
City of Irwindale
City of Irwindale: It Must 1. To address the structural deficit in 1 February 2019
Exercise More Fiscal its general fund, the city should seek
Responsibility Over Its long‑term solutions to balance its
Spending So That It Can budget so that its expenditures do not
Continue to Provide Core
exceed its revenues. These solutions
Services to Residents
should include eliminating the reliance
2016-111 (November 2016)
on one‑time gains to fund ongoing
expenses and identifying opportunities
to further reduce spending. The city
should document its approach in a
long‑term financial plan that should
account for the following: a forecast
of at least five to 10 years into the
future, updates to long‑term planning
activities as needed to provide
direction to the budget process,
and an analysis of its financial status;
revenue and expenditure forecasts;
and plan‑monitoring mechanisms,
such as a scorecard of key indicators of
financial health.
continued on next page . . .
52 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION ESTIMATED SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER HAS APPEARED IN DATE OF CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT COMPLETION IMPLEMENTATION RECOMMENDATION
2. To ensure that employee compensation 1 †
aligns with job statements, the city
should review its salary incentives and
modify the eligibility criteria so that
they match the job requirements.
3. Considering that the city's retirement 1 Partially
benefits are more generous than Implemented
those of most comparable cities,
and in light of its financial situation,
the city should reduce its employee
benefits costs by negotiating with
employee bargaining groups and
key management employees for the
elimination of further city contributions
to the Public Agency Retirement
Services (PARS) supplemental benefit
plan or at least and increase in
participant contributions to cover the
full employee share of the plan's costs,
recognizing that under California case
law the city may not destroy vested
pension rights legislatively.
4. To minimize the use of its reserves to 1 Partially
reduce long‑term liabilities, the city Implemented
should annually determine whether
it has sufficient funding to cash out
employee leave balances. Additionally,
in future labor negotiations, the city
should explore the possibility of
eliminating or reducing voluntary
leave balance cash‑outs by
employees, and eliminate sick leave
cash‑outs altogether.
6. To reduce costs, the city should 1 Will Not
consider eliminating its current resident Implement
prescription drug benefit program
and replacing it with the prescription
discount card program offered by the
League of California Cities that would
provide discounts on prescriptions to
residents at no cost to the city.
7. If the city chooses not to participate 1 Will Not
in the prescription discount card Implement
program offered by the League of
California Cities, it should at least
take the following step related to
its current prescription drug benefit
program: Align its prescription drug
benefit program with its established
purpose—to treat conditions proven
to be caused or worsened by the
city’s mining activities—and limit
the availability of benefits to only
those medications approved for the
treatment of such conditions.
California State Auditor Report 2018-041 53
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION ESTIMATED SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER HAS APPEARED IN DATE OF CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT COMPLETION IMPLEMENTATION RECOMMENDATION
8. If the city chooses not to participate in 1 Will Not
the prescription discount card program Implement
offered by the League of California
Cities, it should at least reduce the cost
of its current prescription drug benefit
program by enacting limits—similar to
those in its resident vision benefits—
on the number or dollar amount of
prescriptions an individual can receive
each year.
9. To reduce the costs of its resident 1 Will Not
prescription drug benefit program, Implement
the city council should follow the
recommendations of its consultant
by approving the following: align
copayments by increasing those paid
by residents 50 years of age and older
to the same level as those paid by
residents who are 49 years or younger.
10. To reduce the costs of its resident 1 Will Not
prescription drug benefit program, Implement
the city council should follow the
recommendations of its consultant by
approving the following: implement
coordination of benefits provisions,
where applicable, to designate the
city as a secondary payer to residents’
primary insurance coverage.
11. To eliminate the need for police officer 1 Will Not
overtime, the city should evaluate Implement
the possibility of contracting for
police services with the Los Angeles
County Sheriff’s Department or
another law enforcement agency as
an alternative to operating its own
police department.
13. While the city is considering 1 Will Not
recommendation #11, and if it should Implement
choose not to contract for police
services, it should promote public
safety and equity among its police
officers by implementing a rotational
order for scheduled overtime to
prevent some officers from working
excessive shifts.
14. To help ensure that it receives the best 1 November 2018
value for contracts it exempts from
competitive bidding, the city should
revise its purchasing policy to require
its staff to perform a price analysis and
prepare a cost justification form and
place the document in each contract
file as evidence that the contract price
is fair and reasonable.
continued on next page . . .
54 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION ESTIMATED SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER HAS APPEARED IN DATE OF CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT COMPLETION IMPLEMENTATION RECOMMENDATION
15. To help ensure that it receives 1 November 2018
good‑quality services, the city should
monitor all spending for contracted
services. The city should also require
its staff to perform post‑contract
evaluations of professional services
contracts, particularly for those
continuing services contracts it
exempts from competitive bidding.
16. The Housing Authority should consider 1 Will Not
options to provide low‑income Implement
housing opportunities to more
people. Additionally, if the Housing
Authority intends to continue providing
low‑income housing opportunities
in the future, the city should examine
the available funding mechanisms
to continue providing low‑income
housing before it exhausts its Housing
Authority Fund balance.
17. To ensure that all residents have an 1 Unknown
equal chance to participate in the
Housing Authority’s housing programs,
the city should remove the long‑term
residency priorities from any future
housing programs.
City of Novato
Residential Building Records: 2. To ensure that it is aware of the degree 2 Will Not
K The Cities of San Rafael, of property owners’ compliance with Implement
Novato, and Pasadena its resale record ordinance, Novato
Need to Strengthen the should implement procedures that can
Implementation of Their
help it monitor the sale or exchange
Resale Record Programs
of properties that require resale record
2015-134 (March 2016)
inspections. The city should work
with applicable stakeholders, such as
realtors, to aid in this effort.
5. To verify that new property owners are 2 Will Not
aware of the health and safety concerns Implement
at their properties and any corrections
they need to make, Novato should
develop a process to ensure that it
receives homeowners’ cards.
34. To ensure that the resale record fees 2 Will Not
it charges is appropriate, Novato Implement
should establish a time frame to
periodically determine whether the
fees are commensurate with the cost
of administering the resale record
program. The city should ensure
that it retains any documentation
used to support its analyses and any
subsequent adjustments to fees.
City of Pasadena
Residential Building Records: 3. To ensure that it is aware of the degree 2 January 2019
K The Cities of San Rafael, of property owners’ compliance with
Novato, and Pasadena its resale record ordinance, Pasadena
Need to Strengthen the should implement procedures that can
Implementation of Their
help it monitor the sale or exchange
Resale Record Programs
of properties that require resale record
2015-134 (March 2016)
inspections. The city should work
with applicable stakeholders, such as
realtors, to aid in this effort.
California State Auditor Report 2018-041 55
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION ESTIMATED SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER HAS APPEARED IN DATE OF CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT COMPLETION IMPLEMENTATION RECOMMENDATION
6. To verify that new property owners are 2 January 2019
aware of the health and safety concerns
at their properties and any corrections
they need to make, Pasadena should
develop a process to ensure that staff
sign the inspection certificates and add
them to the city’s database.
9. To ensure that it can monitor the 2 January 2019
satisfaction individuals have with
the resale record program and that it
has a uniform approach for resolving
complaints, Pasadena should develop
a formal process for tracking the
complaints it receives. In addition,
Pasadena should develop a formal
policy that describes how staff should
evaluate complaints, and it should
document its activities associated
with resolving complaints, such as
the resolution and the rationale for
the resolution. The city should also
establish a designated location in its
database to record this information.
12. Pasadena should develop formal 2 January 2019
written procedures for staff to follow
up on property owners’ correction of
violations. These procedures should
identify the method in which staff
document in the database the violations
identified during inspections and their
actions to bring the property into
compliance. In addition, the procedures
should identify where within the
database these documents should be
kept as well as identify the protocol
for ensuring that repeat violations are
corrected in a timely manner.
16. To ensure that property owners 2 January 2019
correct violations in a timely manner,
Pasadena should develop a work plan
by July 2016 to identify and address
its enforcement backlog by April 2017
so that the city is up to date with its
enforcement actions, such as issuing
notice letters and monitoring property
owners’ actions to resolve violations.
Pasadena’s work plan should also
include updating the completion
status of the violations so unresolved
violations can be identified and
monitored for subsequent correction.
19. To ensure that property owners 2 January 2019
correct violations in a timely manner,
Pasadena should follow through with
its enforcement policies, such as issuing
notice letters.
22. To ensure that property owners correct 2 January 2019
violations in a timely manner, Pasadena
should establish a written process
for staff to monitor and ensure that
property owners correct violations,
including accurately identifying the
properties that have not obtained
necessary permits or have not had
required reinspections performed.
continued on next page . . .
56 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION ESTIMATED SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER HAS APPEARED IN DATE OF CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT COMPLETION IMPLEMENTATION RECOMMENDATION
25. To ensure that it conducts its resale 2 January 2019
record inspections and completes the
reports in a timely manner, Pasadena
should establish a process to monitor
its ability to meet its established
time goals from application date to
report issuance, such as developing a
reminder report or using an automated
feature of its database. Pasadena
should also document the date the
report is issued on the resale record
report and in its database.
27. To ensure that it conducts its resale 2 January 2019
record inspections and completes the
reports in a timely manner, Pasadena
should review its time goals by
July 2016 for the resale record program
and modify them if necessary, factoring
in property owners’ expectations
and staff resources to complete the
resale record reports. If applicable,
Pasadena should update its policies
and procedures to reflect the revised
time goals.
30. To ensure that it conducts its resale 2 January 2019
record inspections and completes the
reports in a timely manner, Pasadena
should establish a method to identify
those inspections that have inspection
dates requested by property owners.
32. To ensure that the resale record fees 2 January 2019
it charges is appropriate, Pasadena
should finalize its formal fee study by
April 2016.
35. To ensure that the resale record fees 2 January 2019
it charges is appropriate, Pasadena
should establish a time frame to
periodically determine whether the
fees are commensurate with the cost
of administering the resale record
program. The city should ensure
that it retains any documentation
used to support its analyses and any
subsequent adjustments to fees.
38. To ensure that it can demonstrate 2 January 2019
that its resale record inspectors are
qualified, Pasadena should develop
a process to maintain continuing
education attendance records. The
city should ensure that staff receive
periodic continuing education through
internal and external sources to keep
them current on code requirements,
especially when the requirements
are updated.
40. If Pasadena subsequently requires 2 January 2019
its resale record inspectors to
have International Code Council
certifications, it should ensure that
those staff maintain them in good
standing to perform their necessary
job functions.
California State Auditor Report 2018-041 57
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION ESTIMATED SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER HAS APPEARED IN DATE OF CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT COMPLETION IMPLEMENTATION RECOMMENDATION
Coachella Valley Unified School District
College Readiness of 3. To increase students’ access to and 1 Unknown
California’s High School completion rates of college preparatory
Students: The State Can coursework, districts should develop
Better Prepare Students and institute an on track/off track
for College by Adopting
student identification model similar to
New Strategies and
Increasing Oversight San Francisco’s model that will allow
them to determine whether students
2016-114 (February 2017)
are completing grade‑level college
preparatory coursework. The districts
should notify parents when they
identify students as falling off track and
should advise the parents and students
of available support and credit recovery
options. Furthermore, school staff
should be required to meet with and
document the support they provide to
these students.
5. To increase students’ access to and 1 May 2018
completion rates of college preparatory
coursework, districts should create a
robust and stable network of credit
recovery options that reflect the needs
of their student populations. These
options—which the districts should
monitor for effectiveness—should
include summer school courses and
evening courses.
7. To increase students’ access to and 1 Unknown
completion rates of college preparatory
coursework, districts should create
and institute a centralized process for
submitting, managing, and tracking
college preparatory courses and
certification requests. This process
should maximize the number of
certified courses that the district offers.
Further, to ensure that students receive
appropriate credit for their college
preparatory coursework, this process
should match the UC’s course listings
with each school’s master schedule
of courses.
County of Alameda
Dually Involved Youth: The 9. Alameda County probation department 2 Unknown
J State Cannot Determine the should update its existing procedures
Effectiveness of Efforts to to ensure that its staff are accurately
Serve Youth Who Are Involved recording family reunification service
in Both the Child Welfare and
components within the statewide case
Juvenile Justice Systems
management system.
2015-115 (February 2016)
11. To identify their population of dually 2 Unknown
involved youth, Alameda County’s
CWS and probation agencies should
designate the data system they will
use for tracking the dates and results of
joint assessment hearings.
17. To identify their population of dually 2 Unknown
involved youth, Alameda County's
Child Welfare Service's (CWS) and
probation agencies should provide
guidance or training to staff on
recording joint assessment hearing
information consistently within the
designated system.
continued on next page . . .
58 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION ESTIMATED SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER HAS APPEARED IN DATE OF CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT COMPLETION IMPLEMENTATION RECOMMENDATION
County of Fresno
Indian Gaming Special 1. If the Legislature appropriates 1 June 2019
L Distribution Fund: The funding from the distribution fund
Method Used to Mitigate for mitigation grants in the future, to
Casino Impacts Has Changed, comply with state law, the benefit
and Two Counties’ Benefit
committee for Fresno County should
Committees Did Not Ensure
Compliance With State Law ensure that it obtains sufficient
When Awarding Grants documentation from grant applicants
2016-036 (March 2017) to demonstrate that the requested
funding represents the correct
proportionate share of the costs
attributable to casino impacts.
2. If the Legislature appropriates 1 June 2019
funding from the distribution fund
for mitigation grants in future years,
Fresno County’s benefit committee
should revise its procedures to
include specific steps to verify that
grantees will place grant funds into
interest‑bearing accounts when
awarding any mitigation grants. These
steps should include requiring grantees
to report the interest accrued in their
quarterly reports and to substantiate
those reports with bank statements or
other reports of interest earned, and
following up with the grantee when
the grantee reports no earned interest
for the period.
County of Los Angeles
County Pay Practices: 7. To ensure that they consistently 2 Will Not
Although the Counties We demonstrate that candidates are hired Implement
Visited Have Rules in Place to for permanent civil service positions
Ensure Fairness, Data Show based on valid and job‑related criteria,
That a Gender Wage Gap
regardless of their sex, each county
Still Exists
should develop policies requiring
2015-132 (May 2016)
hiring managers to document the
reasons why they chose the selected
candidate over others from the certified
eligibility list.
Los Angeles County: Lacking 1. To determine whether its trauma 4 Will Not
a Comprehensive Assessment system is appropriately designed Implement
of Its Trauma System, It and serving the needs of residents
Cannot Demonstrate That It in underserved areas and the needs
Has Used Measure B Funds
of the most at‑risk populations, the
to Address the Most Pressing
Trauma Needs board should use Measure B funds to
engage the College of Surgeons by
2013-116 (February 2014)
July 2014 to perform a comprehensive
assessment of the trauma system and
then make the results available to the
public. To the extent the assessment
identifies weaknesses in the trauma
system, the board should develop
strategies to address those weaknesses
where feasible. Specifically, the board
should ask the College of Surgeons
to assist the board in better defining
and identifying underserved areas in
Los Angeles.
California State Auditor Report 2018-041 59
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION ESTIMATED SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER HAS APPEARED IN DATE OF CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT COMPLETION IMPLEMENTATION RECOMMENDATION
2. To determine whether its trauma 4 Will Not
system is appropriately designed Implement
and serving the needs of residents
in underserved areas and the needs
of the most at‑risk populations, the
board should use Measure B funds to
engage the College of Surgeons by
July 2014 to perform a comprehensive
assessment of the trauma system and
then make the results available to the
public. To the extent the assessment
identifies weaknesses in the trauma
system, the board should develop
strategies to address those weaknesses
where feasible. Specifically, the board
should ask the College of Surgeons to
review Measure B allocations to ensure
that they are addressing the most
pressing needs of at‑risk populations in
Los Angeles.
3. To determine whether its trauma 4 Will Not
system is appropriately designed Implement
and serving the needs of residents in
underserved areas and the needs of
the most at‑risk populations, the board
should use Measure B funds to engage
the College of Surgeons by July 2014 to
perform a comprehensive assessment
of the trauma system and then make
the results available to the public. To
the extent the assessment identifies
weaknesses in the trauma system,
the board should develop strategies
to address those weaknesses where
feasible. Specifically, the board should
ask the College of Surgeons to assess
the adequacy of helicopter services it
provides in underserved areas.
4. To determine whether its trauma 4 Will Not
system is appropriately designed Implement
and serving the needs of residents in
underserved areas and the needs of
the most at‑risk populations, the board
should use Measure B funds to engage
the College of Surgeons by July 2014 to
perform a comprehensive assessment
of the trauma system and then make
the results available to the public. To
the extent the assessment identifies
weaknesses in the trauma system,
the board should develop strategies
to address those weaknesses where
feasible. Specifically, the board should
ask the College of Surgeons to analyze
how Los Angeles' Emergency Medical
Services Agency (EMS) might better
use the data it collects to evaluate,
improve, and report continuously on its
trauma system.
continued on next page . . .
60 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION ESTIMATED SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER HAS APPEARED IN DATE OF CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT COMPLETION IMPLEMENTATION RECOMMENDATION
5. To ensure that it allocates Measure B 4 Partially
funds to address the most significant Implemented
needs of residents within its trauma
system, the board should reinstate
a Measure B oversight committee,
with participation from departments
with trauma, EMS, and bioterrorism
preparedness expertise, as well as
representatives of the public. The
oversight committee should review
trauma system and other county
needs annually and advise the board
on Measure B expenditures. As part
of its responsibilities, the oversight
committee should reevaluate the
Measure B allocation approach,
taking into consideration the results
of Los Angeles’s comprehensive
assessment and the effects of the
Patient Protection and Affordable Care
Act (Act), and issue a report on its
findings no later than December 2015.
Los Angeles County: 1. By April 2017, the county should reach 1 TBD
Weak Oversight of Its Lease agreement with the association on the
With the Los Angeles County date by which the association must pay
Fair Association Has Likely the county for the rent in arrears related
Cost Millions of Dollars to the hotel.
in Revenue
2016-106 (November 2016) 2. By April 2017, the county should reach 1 TBD
agreement with the association on
how much rent the association owes
the county from the hotel’s operations
since 1992.
3. As soon as possible, the county should 1 TBD
collect from the association all amounts
presently owed under the lease as a
result of the revenue generated by the
conference center.
4. To ensure that it recognizes and 1 TBD
addresses in a timely manner areas
of potential concern related to the
association’s rent, the county should
create and adhere to a policy of
reviewing the association’s rent
calculations at least every three years.
5. To protect its interests and maximize 1 TBD
its future revenue, the county should
strongly consider ensuring that any
potential amendment to the lease
includes a revised rent calculation
formula that factors in revenue from all
of the association's activities, including
its hotel and conference center, as
well as revenue from its subsidiaries'
activities at the Fairplex. This revised
rent calculation formula should require
the association either to pay the
county an agreed‑upon fixed amount,
adjusted periodically for inflation, or to
pay the county both a fixed amount
every year and a percentage of the
total gross revenue that the association
earns at the Fairplex.
California State Auditor Report 2018-041 61
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION ESTIMATED SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER HAS APPEARED IN DATE OF CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT COMPLETION IMPLEMENTATION RECOMMENDATION
6. To protect its interests and maximize 1 TBD
its future revenue, the county should
strongly consider ensuring that any
potential amendment to the lease
includes terms that define the
circumstances or dates that require a
renegotiation of the lease and the rent
calculation formula.
7. To protect its interests and maximize 1 TBD
its future revenue, the county should
strongly consider ensuring that any
potential amendment to the lease
includes an agreement on the types
of entities whose gross revenues
the association must include in
rent calculations. This agreement
should cover any new businesses the
association creates that operate at
the Fairplex.
8. To protect its interests and maximize 1 TBD
its future revenue, the county should
strongly consider ensuring that any
potential amendment to the lease
includes terms that require the
association to provide the county
with any subleases it wishes to enter,
even those subleases that do not
exceed 10 years. The terms should
also require the association to provide
the county with approval over other
agreements that could affect the rent
calculation, including the association’s
hotel management agreement and
its amendments.
9. To protect its interests and maximize 1 TBD
its future revenue, the county should
strongly consider ensuring that any
potential amendment to the lease
includes terms that require the
association to provide the county with
advance notice of any refinancing of
the association’s debt and what impact,
if any, such transactions would have on
the amount or timing of rent payments
to the county.
County of San Diego
Indian Gaming Special 10. If San Diego County’s benefit 4 †
H Distribution Fund: Counties’ committee believes that its processes
Benefit Committees Did for distributing grant funds are vital
Not Always Comply With to its effective management of
State Laws for Distribution
distribution fund grants, it should
Fund Grants
seek legislative authority to change
2013-036 (March 2014)
its process. Otherwise, San Diego
County’s benefit committee should
refrain from placing limits on the time
available for grant recipients to spend
the grant funds.
continued on next page . . .
62 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION ESTIMATED SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER HAS APPEARED IN DATE OF CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT COMPLETION IMPLEMENTATION RECOMMENDATION
Indian Gaming Special 4. If the Legislature appropriates 1 †
L Distribution Fund: The funding from the distribution fund
Method Used to Mitigate for mitigation grants in the future, to
Casino Impacts Has Changed, comply with state law, the benefit
and Two Counties’ Benefit
committee for San Diego County
Committees Did Not Ensure
Compliance With State Law should ensure that it obtains sufficient
When Awarding Grants documentation from grant applicants
2016-036 (March 2017) to demonstrate that the requested
funding represents the correct
proportionate share of the costs
attributable to casino impacts.
County of Santa Clara
Dually Involved Youth: The 16. To identify their population of dually 2 Will Not
J State Cannot Determine the involved youth, Santa Clara County’s Implement
Effectiveness of Efforts to CWS and probation agencies should
Serve Youth Who Are Involved designate the data system they will
in Both the Child Welfare and
use for tracking the dates and results of
Juvenile Justice Systems
joint assessment hearings.
2015-115 (February 2016)
22. To identify their population of dually 2 Will Not
involved youth, Santa Clara County’s Implement
CWS and probation agencies should
provide guidance or training to staff
on recording joint assessment hearing
information consistently within the
designated system.
East Side Union High School District
Student Mental Health 17. To better understand the effectiveness 2 †
N Services: Some Students’ of the mental health services in its
Services Were Affected by special education program, East Side
a New State Law, and the Union High School District should use
State Needs to Analyze
the six performance indicators we
Student Outcomes and Track
Service Costs identified to perform analysis annually
on the subset of students receiving
2015-112 (January 2016)
mental health services.
Hesperia Water District
Apple Valley Area Water 1. To assist low‑income water customers, 3 Will Not
I Rates: Differences in Costs Hesperia should work with its Implement
Affect Water Utilities’ Rates, governing body to consider the
and One Utility May Have feasibility of using revenues from
Spent Millions of Ratepayer
sources other than water rates to
Funds Inappropriately
implement a rate assistance program.
2014-132 (April 2015)
Long Beach Unified School District
Student Mental 4. To better communicate with parents 2 †
N Health Services: Some and future individualized education
Students’ Services Were programs (IEP) teams about reasons
Affected by a New State for any changes to student services,
Law, and the State Needs to
including changes to mental health
Analyze Student Outcomes
and Track Service Costs services and student placements,
Long Beach should develop a process
2015-112 (January 2016)
to ensure that IEP teams record these
reasons in student IEP documents.
10. To ensure that it complies with federal 2 †
and state requirements, Long Beach
should develop a process to ensure
that IEP teams record, in student IEP
documents, the rationale for residential
treatment and any potential harmful
effects of such placement.
California State Auditor Report 2018-041 63
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION ESTIMATED SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER HAS APPEARED IN DATE OF CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT COMPLETION IMPLEMENTATION RECOMMENDATION
14. To better understand the effectiveness 2 †
of the mental health services in
its special education program,
Long Beach should use the six
performance indicators we identified
to perform analysis annually on the
subset of students receiving mental
health services.
Los Angeles Department of Water and Power
Los Angeles Department 1. To ensure that the Los Angeles Board 3 2020
of Water and Power: of Water and Power Commissioners
Consequences Linked to (board) can more effectively exercise
Its Premature Launch of oversight for the department’s
Its Customer Information
significant information technology
System May Push Total Costs
Beyond $200 Million projects, the board should establish
a standing committee comprised
2014-105 (March 2015)
of board members to oversee and
critically evaluate the status of the
department’s various information
technology projects. Given the limited
tenure of board members and the
potential for multiyear and high‑cost
information technology projects,
the board president should consider
appointing as many committee
members as practicable in order to
promote continuity of oversight.
2. To ensure that the board can more 3 2020
effectively exercise oversight for the
department’s significant information
technology projects, the board
should develop reporting standards
for the department’s management to
follow when discussing the status of
information technology projects with
the standing committee or the board.
Such reporting standards should, at a
minimum, specify the frequency with
which the department’s management
makes such reports and require the
following disclosures about each
information technology project:
• The amount of project growth, in
terms of both budget and scope of
work, from initial project estimates
through current projections.
• The results from system testing and
a listing of the critical defects that
exist and must be fixed prior to
system use.
• The concerns the quality assurance
contractor has raised and how the
department is addressing them.
3. To ensure that the board can more 3 2020
effectively exercise oversight for the
department’s significant information
technology projects, the board should
develop a process for the board
to designate certain information
technology projects as having a
potentially significant effect on business
operations or customer relations, and
require that department managers
first obtain the board’s approval before
launching such critical new systems.
continued on next page . . .
64 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION ESTIMATED SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER HAS APPEARED IN DATE OF CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT COMPLETION IMPLEMENTATION RECOMMENDATION
Los Angeles Police Department
The CalGang Criminal 23. Until the Los Angeles Police 2 †
O Intelligence System: As the Department receives further direction
Result of Its Weak Oversight from the board, the committee, or
Structure, It Contains Justice, it should address the specific
Questionable Information
deficiencies we found by reviewing
That May Violate Individuals’
Privacy Rights the gangs it has entered into CalGang
to ensure the gangs meet reasonable
2015-130 (August 2016)
suspicion requirements. It should also
begin reviewing the gang members it
has entered into CalGang to ensure the
existence of proper support for each
criterion. It should purge from CalGang
any records for gangs or gang members
that do not meet the criteria for entry.
Individuals who are independent from
the ongoing administration and use
of CalGang should lead this review.
The agency should complete the gang
and gang member reviews in phases,
with the final phase for gangs to be
completed by June 30, 2018, and the
final phase for gang members to be
completed by June 30, 2019.
New Jerusalem Elementary School District
Charter Schools: Some 44. To better ensure effective oversight of its 1 No Action Taken
M School Districts Improperly charter schools’ finances, New Jerusalem
Authorized and Inadequately should place a district representative as
Monitored Out-of-District a nonvoting member on each charter
Charter Schools
school’s governing board.
2016-141 (October 2017)
48. To ensure that charter schools work 1 †
toward the academic goals established
in their charters, New Jerusalem
should provide its charter schools
with annual oversight reports on their
academic performance.
Quartz Hill Water District
Antelope Valley Water Rates: 13. To assist low‑income water customers, 4 Will Not
Various Factors Contribute Quartz Hill Water District should work Implement
to Differences Among with its governing body to consider
Water Utilities the feasibility of using revenues from
2013-126 (July 2014) sources other than water rates to
implement rate assistance programs for
low‑income water customers.
San Bernardino County Superintendent of Schools
School Violence Prevention: 12. To ensure that their schools’ safety 1 Unknown
Q School Districts, County plans comply with state law and are
Offices of Education, and the submitted and approved on or before
State Must Do More to Ensure March 1 each year, the Kern, Placer,
That School Safety Plans Help
and San Bernardino county offices, and
Protect Students and Staff
During Emergencies San Bernardino City Unified should
implement procedures to monitor and
2016-136 (August 2017)
approve their schools’ safety plans. The
procedures should include the use of
electronic document‑tracking systems
and safety plan templates.
California State Auditor Report 2018-041 65
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION ESTIMATED SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER HAS APPEARED IN DATE OF CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT COMPLETION IMPLEMENTATION RECOMMENDATION
San Francisco Unified School District
California Department of 10. To help ensure that they consistently 1 Unknown
R Education: It Has Not Ensured comply with the Buy American
That School Food Authorities requirement, San Francisco should
Comply With the Federal Buy establish written policies and
American Requirement
procedures related to the Buy American
2016-139 (July 2017) requirement by October 1, 2017. At a
minimum, those policies and procedures
should include the following:
• An explanation of how it will ensure
that it consistently includes language
related to the Buy American
requirement in its bid solicitation
documents and contracts.
• A minimum expectation for how
regularly it will verify that food items
its vendors provide are domestic
commodities or products.
• A requirement that its staff identify
the need to purchase foreign‑sourced
items as early as possible in the food
purchasing process and that they
begin documenting the justification
for such exceptions to the Buy
American requirement at that time.
• Guidance for how it will maintain
documentation showing that
its purchases of foreign‑sourced
food items meet one of the two
allowable exceptions.
San Juan Unified School District
School Library Services: 7. To strengthen its library programs and 1 Unknown
P Vague State Laws and a Lack help the State assess the condition of
of Monitoring Allow School school libraries statewide, San Juan
Districts to Provide a Minimal Unified should ensure that teacher
Level of Library Services
librarians are involved in the selection
2016-112 (November 2016) of library materials at each school.
9. To strengthen its library programs and 1 Unknown
help the State assess the condition of
school libraries statewide, San Juan
Unified should use the model standards
to assess the needs of its school
library programs and address any
identified needs during its local control
accountability plans (LCAP) process.
continued on next page . . .
66 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION ESTIMATED SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER HAS APPEARED IN DATE OF CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT COMPLETION IMPLEMENTATION RECOMMENDATION
Santa Ana Police Department
The CalGang Criminal 25. Until the Santa Ana Police Department 2 June 2019
O Intelligence System: As the receives further direction from the
Result of Its Weak Oversight board, the committee, or Justice, it
Structure, It Contains should address the specific deficiencies
Questionable Information
we found by reviewing the gangs it
That May Violate Individuals’
Privacy Rights has entered into CalGang to ensure
the gangs meet reasonable suspicion
2015-130 (August 2016)
requirements. It should also begin
reviewing the gang members it has
entered into CalGang to ensure the
existence of proper support for each
criterion. It should purge from CalGang
any records for gangs or gang members
that do not meet the criteria for entry.
Individuals who are independent from
the ongoing administration and use
of CalGang should lead this review.
The agency should complete the gang
and gang member reviews in phases,
with the final phase for gangs to be
completed by June 30, 2018, and the
final phase for gang members to be
completed by June 30, 2019.
Santa Clara County Registrar of Voters
Santa Clara County Registrar 3. To reduce errors and potentially its 1 Approximately
S of Voters: Insufficient Policies workload, Santa Clara should research March 2019
and Procedures Have Led by January 2018 its opportunities to
to Errors That May Have integrate mapping software with
Reduced Voters’ Confidence in
its election management software,
the Registrar’s Office
and Santa Clara should implement
2017-107 (October 2017)
this integration of mapping software
technology by June 2018.
6. To ensure accuracy and consistency in 1 2019
the creation, review, and distribution of
election‑related materials, Santa Clara
should review and document in
detail all policies and procedures
by October 2018, prioritizing its
documentation for the divisions that
are responsible for the most frequent
and egregious election‑related errors.
Specifically, Santa Clara should review
and formalize Mapping policies
and procedures by January 2018,
to allow time for implementation
before the June primary election
process. By October 2018, Santa Clara
should review and formalize policies
and procedures for the remaining
divisions—including Ballot Layout,
Candidate Services, and Vote by
Mail—to provide adequate time for
implementation before the November
general election process.
California State Auditor Report 2018-041 67
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION ESTIMATED SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER HAS APPEARED IN DATE OF CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT COMPLETION IMPLEMENTATION RECOMMENDATION
7. To reduce the risk of staff errors, 1 †
inconsistencies in procedures, and the
loss of institutional knowledge in the
creation, review, and distribution of
election‑related materials, Santa Clara
should develop and implement training
for its staff that includes instructions
on its comprehensive policies and
procedures. The development
of this training should take place
concurrently with Santa Clara’s detailed
documentation of its policies and
procedures, and Santa Clara should
require relevant staff to attend this
training before each major election.
Santa Clara County Sheriff’s Office
The CalGang Criminal 27. Until Santa Clara County Sheriff’s Office 2 June 2019
O Intelligence System: As the receives further direction from the
Result of Its Weak Oversight board, the committee, or Justice, it
Structure, It Contains should address the specific deficiencies
Questionable Information
we found by reviewing the gangs it
That May Violate Individuals’
Privacy Rights has entered into CalGang to ensure
the gangs meet reasonable suspicion
2015-130 (August 2016)
requirements. It should also begin
reviewing the gang members it has
entered into CalGang to ensure the
existence of proper support for each
criterion. It should purge from CalGang
any records for gangs or gang members
that do not meet the criteria for entry.
Individuals who are independent from
the ongoing administration and use
of CalGang should lead this review.
The agency should complete the gang
and gang member reviews in phases,
with the final phase for gangs to be
completed by June 30, 2018, and the
final phase for gang members to be
completed by June 30, 2019.
28. Until Santa Clara County Sheriff’s 2 March 2019
Office receives further direction
from the board, the committee, or
Justice, it should address the specific
deficiencies we found by developing or
modifying as necessary all its policies
and procedures related to CalGang
to ensure they align with state law,
CalGang policy, the federal regulations,
and the state guidelines. In particular,
the agency should implement
appropriate policies and procedures for
entering gangs, performing supervisory
reviews of gang and gang member
entries, performing periodic CalGang
record reviews, sharing CalGang
information, and complying with
juvenile notification requirements.
The agency should complete this
recommendation by March 31, 2017.
continued on next page . . .
68 California State Auditor Report 2018-041
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION ESTIMATED SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER HAS APPEARED IN DATE OF CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT COMPLETION IMPLEMENTATION RECOMMENDATION
Stockton Unified School District
California Department of 11. To help ensure that they consistently 1 †
R Education: It Has Not Ensured comply with the Buy American
That School Food Authorities requirement, Stockton should establish
Comply With the Federal Buy written policies and procedures related
American Requirement
to the Buy American requirement by
2016-139 (July 2017) October 1, 2017. At a minimum, those
policies and procedures should include
the following:
• An explanation of how it will
ensure that it consistently
includes language related to the
Buy American requirement in
its bid solicitation documents
and contracts.
• A minimum expectation for how
regularly it will verify that food items
its vendors provide are domestic
commodities or products.
• A requirement that its staff
identify the need to purchase
foreign‑sourced items as early as
possible in the food purchasing
process and that they begin
documenting the justification
for such exceptions to the Buy
American requirement at that time.
• Guidance for how it will maintain
documentation showing that
its purchases of foreign‑sourced
food items meet one of the
two allowable exceptions.
Superior Court of California, County of San Mateo
Judicial Branch Procurement: 13. To ensure that it properly authorizes 1 †
The Five Superior Courts We payments and purchases only
Reviewed Mostly Adhered to allowable items, the San Mateo
Required and Recommended court should process payments in
Practices, but Some
accordance with the requirements and
Improvements Are Needed
recommended practices of the Judicial
2016-301 (November 2016)
Council and the State. Specifically,
the San Mateo court should amend
its bottled water service contract to
ensure that water is purchased for use
by jurors and court room staff only.
Victorville Water District
Apple Valley Area Water 2. To assist low‑income water customers, 3 Will Not
I Rates: Differences in Costs Victorville should work with its Implement
Affect Water Utilities’ Rates, governing body to consider the
and One Utility May Have feasibility of using revenues from
Spent Millions of Ratepayer
sources other than water rates to
Funds Inappropriately
implement a rate assistance program.
2014-132 (April 2015)
6. To demonstrate to water customers 3 Will Not
how they are working to keep rates Implement
reasonable, the four water utilities
should document their cost‑saving
efforts and quantify, to the extent
possible, any specific cost savings
achieved from their respective efforts.
California State Auditor Report 2018-041 69
January 2019
STATE AUDITOR’S ASSESSMENT
NUMBER OF YEARS AUDITEE DID NOT AUDITEE DID NOT
RECOMMENDATION ESTIMATED SUBSTANTIATE ITS ADDRESS ALL
REPORT TITLE, NUMBER HAS APPEARED IN DATE OF CLAIM OF FULL ASPECTS OF THE
AND ISSUE DATE RECOMMENDATION THIS REPORT COMPLETION IMPLEMENTATION RECOMMENDATION
7. To ensure that it does not use revenues 3 Will Not
from ratepayers for inappropriate Implement
purposes, by October 2015, Victorville
should revise its policies to prohibit
transfers or loans of water fee revenue
for nonwater district purposes.
Victorville should also revise its
investment policy that specifies the
circumstances under which it can
invest water revenues—setting
prudent limits on its investment
in assets that the Victorville city
council manages.
8. To address the excess interest expense 3 Will Not
resulting from loans to the city of Implement
Victorville and the building of the
wastewater plant, Victorville should
seek reimbursement from the city
for its unrecovered costs. Victorville
should work with the city to prepare
and submit to the water district
board and the Victorville city council by
October 2015 a formal repayment plan
including specific dates and payments
to be made to ensure that the water
district and its ratepayers are made
whole. When the water district board
approves such a plan, it should take
steps to ensure compliance with the
repayment plan.
† Contrary to the State Auditor’s determination, the auditee believes it has fully implemented the recommendation.