Form Fc 1 Acklist - Foster Care Audits And Rates Branch Audit Check List
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3STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
FOSTER CARE AUDITS AND RATES BRANCH
AUDIT CHECK LIST
AUDIT PROGRAM
DATE
INITIALS
A. PRELIMINARY
1.
Assignments
1.1 Assignment date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1.2 Assignment to Auditor-in-Charge . . . . . . . . . . . . . . . . . . . . . . . . . .
1.3 Determine Audit Period . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.
Planning
2.1 Call provider to schedule audit and request documentation . . . . . .
2.2 Send engagement letter with blank SR 2As, SR 2Bs, SR 2Cs, and
appropriate client lists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.3 Make travel & lodging arrangements . . . . . . . . . . . . . . . . . . . . . . .
2.4 Prepare travel itinerary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.5 Obtain completed SR 2As, SR 2Bs, SR2Cs, and client lists from
provider/input into automated audit program . . . . . . . . . . . . . . . . . .
B. CASE REVIEW
1.
Contact Community Care Licensing (CCL)
1.1 Obtain Personnel Summary (LIC 500) . . . . . . . . . . . . . . . . . . . . . .
1.2 Obtain Department of Justice clearance (LIC 536) . . . . . . . . . . . . .
1.3 Obtain Designation of Administrative Responsibilities (LIC 308) . . .
1.4 Prepare questions for CCL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.
Foster Care Rate Bureau’s File
2.1 Obtain copy of program statement . . . . . . . . . . . . . . . . . . . . . . . . .
2.2 Obtain copy of duty statements, organizational chart,
and listing of board members . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.3 Obtain copy of rate application for audited period . . . . . . . . . . . . . .
2.4 Obtain copy of training plan (program audit) . . . . . . . . . . . . . . . . . .
2.5 Obtain copy of Program Classification Report (SR 2) . . . . . . . . . . .
2.6 Obtain copy of Group Home Program Cost Report (SR 3) . . . . . . .
2.7 Obtain copy of Group Home Program Payroll & Fringe
Benefit Report (SR 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.8 Obtain copy of Days of Care Schedule (SR 5) . . . . . . . . . . . . . . . .
2.9 Obtain copies of SR 2As, SR 2Bs, and SR 2Cs . . . . . . . . . . . . . . .
2.10 Identify a list of potential problem areas
3.
Meet with Rates Consultant
3.1 Discuss file with Rates Consultant . . . . . . . . . . . . . . . . . . . . . . . . .
4.
Brief Audit Team
4.1 Schedule meeting with audit team . . . . . . . . . . . . . . . . . . . . . . . . .
C. FIELD WORK
1.
Entrance Conference
1.1 Attend Entrance Conference . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1.2 Advise provider of objective, goals, scope, and time frames . . . . . .
1.3 Prepare Summary Of Entrance Conference . . . . . . . . . . . . . . . . . .
1.4 Complete Administrator Questionnaire (SR 2 - WP) . . . . . . . . . . . .
1.5 Obtain copy of the current organizational chart . . . . . . . . . . . . . . .
PAGE 1 OF 3
FC 1 ACKLIST (11/02)
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