SCO
Sacramento County
Seriously Emotionally Disturbed Pupils: Out of State Mental Health Services
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SACRAMENTO COUNTY
Audit Report
SERIOUSLY EMOTIONALLY
DISTURBED PUPILS PROGRAM
Chapter 654, Statutes of 1996
July 1, 2001, through June 30, 2004
J C
OHN HIANG
California State Controller
May 2007
J C
OHN HIANG
California State Controller
May 23, 2007
Dave Irish, Director of Finance
Sacramento County
700 H Street, Room 4650
Sacramento, CA 95814
Dear Mr. Irish:
The State Controller’s Office audited the costs claimed by Sacramento County for the legislatively
mandated Seriously Emotionally Disturbed Pupils Program (Chapter 654, Statutes of 1996) for the
period of July 1, 2001, through June 30, 2004.
The county claimed $531,671 for the mandated program. Our audit disclosed that $305,210 is
allowable and $226,461 is unallowable. The unallowable costs occurred because the county claimed
costs that it also claimed under the Handicapped and Disabled Students Program. The State paid the
county $8. Allowable costs claimed exceed the amount paid by $305,202.
If you disagree with the audit finding, you may file an Incorrect Reduction Claim (IRC) with the
Commission on State Mandates (COSM). The IRC must be filed within three years following the
date that we notify you of a claim reduction. You may obtain IRC information at COSM’s Web site,
at www.csm.ca.gov (Guidebook link); you may obtain IRC forms by telephone, at (916) 323-3562,
or by e-mail, at csminfo@csm.ca.gov.
If you have any questions, please contact Jim L. Spano, Chief, Mandated Costs Audits Bureau, at
(916) 323-5849.
Sincerely,
“Original signed by”
JEFFREY V. BROWNFIELD
Chief, Division of Audits
JVB/jj
cc: Lynn Frank, Director
Department of Health and Human Services
Sacramento County
Todd Jerue, Program Budget Manager
Corrections and General Government
Department of Finance
Robin Ulesich-Foemmel
Special Education Program
Department of Mental Health
Cynthia Wong, Manager
Special Education Division
California Department of Education
Sacramento County Seriously Emotionally Disturbed Pupils Program
Contents
Audit Report
Summary............................................................................................................................ 1
Background........................................................................................................................ 1
Objective, Scope, and Methodology................................................................................. 2
Conclusion.......................................................................................................................... 2
Views of Responsible Officials.......................................................................................... 2
Restricted Use.................................................................................................................... 3
Schedule 1—Summary of Program Costs............................................................................ 4
Finding and Recommendation.............................................................................................. 5
Attachment—County’s Response to Draft Audit Report
Sacramento County Seriously Emotionally Disturbed Pupils Program
Audit Report
Summary The State Controller’s Office (SCO) audited the costs claimed by
Sacramento County for the legislatively mandated Seriously Emotionally
Disturbed Pupils Program (Chapter 654, Statutes of 1996) for the period
of July 1, 2001, through June 30, 2004. The last day of fieldwork was
March 27, 2006.
The county claimed $531,671 for the mandated program. Our audit
disclosed that $305,210 is allowable and $226,461 is unallowable. The
unallowable costs occurred because the county claimed costs that it also
claimed under the Handicapped and Disabled Student Program. The
State paid the county $8. Allowable costs claimed exceed the amount
paid by $305,202.
Background Chapter 654, Statutes of 1996, added and amended Government Code
Section 7576 by allowing new fiscal and programmatic responsibilities
for counties to provide mental health services to Seriously Emotionally
Disturbed Pupils (SEDP) placed in out-of-state residential programs.
Counties’ fiscal and programmatic responsibilities, including those set
forth in California Code of Regulations Section 60100, provide that
residential placements for a SEDP may be made out-of-state only when
no in-state facility can meet the pupil’s needs.
On May 25, 2000, the Commission on State Mandates (COSM)
determined that Chapter 654, Statutes of 1996, imposed a state mandate
reimbursable under Government Code Section 17561 for the following.
• Payment of out-of-state residential placement for SEDPs.
• Case management of out-of-state residential placement for SEDPs.
Case management includes supervision of mental health treatment and
monitoring of psychotropic medications.
• Travel to conduct quarterly face-to-face contacts at the residential
facility to monitor level of care, supervision, and the provision of
mental health services as required in the pupil’s Individualized
Education Plan.
• Program management, which includes parent notifications as
required, payment facilitation, and all other activities necessary to
ensure a county’s out-of-state residential placement program meets
the requirements of Government Code Section 7576.
Parameters and Guidelines establishes the state mandate and defines
reimbursement criteria. The COSM adopted the Parameters and
Guidelines on October 26, 2000. In compliance with Government Code
Section 17558, the SCO issues claiming instructions for mandated
programs, to assist local agencies and school districts in claiming
reimbursable costs.
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Sacramento County Seriously Emotionally Disturbed Pupils Program
Objective, We conducted the audit to determine whether costs claimed represent
increased costs resulting from the Seriously Emotionally Disturbed
Scope, and
Pupils Program for the period of July 1, 2001, through June 30, 2004.
Methodology
Our audit scope included, but was not limited to, determining whether
costs claimed were supported by appropriate source documents, were not
funded by another source, and were not unreasonable and/or excessive.
We conducted the audit according to Government Auditing Standards,
issued by the Comptroller General of the United States, and under the
authority of Government Code Sections 12410, 17558.5, and 17561. We
did not audit the county’s financial statements. We limited our audit
scope to planning and performing audit procedures necessary to obtain
reasonable assurance that costs claimed were allowable for
reimbursement. Accordingly, we examined transactions, on a test basis,
to determine whether the costs claimed were supported.
We limited our review of the county’s internal controls to gaining an
understanding of the transaction flow and claim preparation process as
necessary to develop appropriate auditing procedures.
Conclusion Our audit disclosed an instance of noncompliance with the requirements
outlined above. This instance is described in the accompanying Summary
of Program Costs (Schedule 1) and in the Finding and Recommendation
section of this report.
For the audit period, Sacramento County claimed $531,671 for costs of
the Seriously Emotionally Disturbed Pupils Program. Our audit disclosed
that $305,210 is allowable and $226,461 is unallowable.
For fiscal year (FY) 2001-02, the State made no payment to the county.
Our audit disclosed that none of the costs claimed is allowable.
For FY 2002-03, the State paid the county $8. Our audit disclosed that
none of the costs claimed is allowable. The county should return $8 to
the State. The State will offset $8 from other mandated program
payments due the county. Alternatively, the county may remit this
amount to the State.
For FY 2003-04, the State made no payment to the county. Our audit
disclosed that $305,210 is allowable. The State will pay allowable costs
claimed that exceed the amount paid, totaling $305,210, contingent upon
available appropriations.
Views of We issued a draft audit report on January 17, 2007. Lynn Frank, Director
of Health and Human Services, responded by letter dated February 14,
Responsible
2007, agreeing with the audit results. This final audit report includes the
Official
county’s response.
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Sacramento County Seriously Emotionally Disturbed Pupils Program
Restricted Use This report is solely for the information and use of Sacramento County,
the California Department of Finance, and the SCO; it is not intended to
be and should not be used by anyone other than these specified parties.
This restriction is not intended to limit distribution of this report, which
is a matter of public record.
“Original signed by”
JEFFREY V. BROWNFIELD
Chief, Division of Audits
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Sacramento County Seriously Emotionally Disturbed Pupils Program
Schedule 1—
Summary of Program Costs
July 1, 2001, through June 30, 2004
Actual Costs Allowable Audit
Cost Elements Claimed per Audit Adjustment 1
July 1, 2001, through June 30, 2002
Vendor reimbursements:
Mental health services $ 116,824 $ — $ (116,824)
Case management costs 11,652 — (11,652)
Travel cost 9,728 — (9,728)
Indirect cost 6,490 — (6,490)
Total program costs $ 144,694 — $ (144,694)
Less amount paid by the State —
Allowable costs claimed in excess of (less than) amount paid $ —
July 1, 2002, through June 30, 2003
Vendor reimbursements:
Mental health services $ 51,764 $ — $ (51,764)
Travel cost 11,948 — (11,948)
Total program costs $ 63,712 — $ (63,712)
Less amount paid by the State (8)
Allowable costs claimed in excess of (less than) amount paid $ (8)
July 1, 2003, through June 30, 2004
Vendor reimbursements:
Mental health services $ 10,943 $ — $ (10,943)
Room and board costs (60%) 305,210 305,210 —
Travel costs 6,283 — (6,283)
Program management costs 772 — (772)
Indirect costs 57 — (57)
Total program costs $ 323,265 305,210 $ (18,055)
Less amount paid by the State —
Allowable costs claimed in excess of (less than) amount paid $ 305,210
Summary: July 1, 2001, through June 30, 2004
Vendor reimbursements:
Mental health services $ 179,531 $ — $ (179,531)
Room and board costs (60%) 305,210 305,210 —
Case management costs 11,652 — (11,652)
Travel costs 27,959 — (27,959)
Program management costs 772 — (772)
Indirect costs 6,547 — (6,547)
Total program costs $ 531,671 305,210 $ (226,461)
Less amount paid by the State (8)
Allowable costs claimed in excess of (less than) amount paid $ 305,202
_________________________
1 See the Finding and Recommendation section.
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Sacramento County Seriously Emotionally Disturbed Pupils Program
Finding and Recommendation
FINDING— The county inadvertently claimed $226,461 in reimbursable costs for
mental health services, case management, travel, program management,
Costs claimed twice
and related indirect costs that it also claimed under the mandated
Handicapped and Disabled Students Program.
Parameters and Guidelines specifies that only actual increased costs
incurred in the performance of the mandated activities and adequately
documented are reimbursable.
As a result, we have reduced claimed costs for all costs claimed twice, as
follows.
Fiscal Year
2001-02 2002-03 2003-04 Total
Mental health services $ (116,824) $ (51,764) $ (10,943) $ (179,531)
Case management (11,652) — — (11,652)
Travel (9,728) (11,948) (6,283) (27,959)
Program management — — (772) (772)
Indirect costs (6,490) — (57) (6,547)
Audit adjustment $ (144,694) $ (63,712) $ (18,055) $ (226,461)
Recommendation
We recommend that the county ensure that costs claimed are eligible
increased costs incurred as a result of the mandate.
County’s Response
The county agrees with the finding.
SCO’s Comment
The finding and recommendation remain unchanged.
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Sacramento County Seriously Emotionally Disturbed Pupils Program
Attachment—
County’s Response to
Draft Audit Report
State Controller’s Office
Division of Audits
Post Office Box 942850
Sacramento, California 94250-5874
http://www.sco.ca.gov
S06-MCC-012