Solano County Grand Jury
• 2019-2020
Quality Assurance/Quality Improvement and Program Integrity/Anti-Fraud Functions of In-Home Supportive Services
⚠️ Translation Notice: This content has been automatically translated. The original English text is the official version. Translation may contain errors.
⚠️ Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.
Findings and Recommendations 5 findings
F1
During the Fiscal Year 2018-2019, the IHSS faced staff turnover and changes in positions and duties that impaired its quality of performance.
Related Recommendations (1)
R1
Cross-train the staff to assist management in preparing for planned vacations, illness and possible additional turnover. Periodic assessment of potential increase in caseload by management is an additional tool for planning purposes.
F2
Based on the County’s current caseload and the job’s requirements, the IHSS’s program integrity/anti-fraud unit requires an additional full-time social worker.
Related Recommendations (1)
R2
Hire an additional full-time social worker for the IHSS program integrity/anti-fraud unit.
F3
Unannounced IHSS home visits increased from zero in FY 2015-16, to six in FY 2016-17, seven in FY 2017-18 to twenty-three in the first three quarters of FY 2018-19, a positive change.
Related Recommendations (1)
R3
Continue to focus on State mandates, including unannounced home visits, as well as verification of the receipt and quality of services to the recipients, their well-being and any related concerns.
F4
The quality of IHSS services could be improved with QA targeted reviews and quality improvement efforts.
Related Recommendations (1)
R4
Complete targeted reviews (although optional by State requirements) and perform quality improvement efforts with corresponding outcome reports.
F5
Even though errors in desk review findings (missing, incorrect or incomplete State and County forms) decreased in FY 2017-18, the count remains high and should be addressed.
Related Recommendations (1)
R5
Strive for more accurate and complete reports. COMMENTS The California Department of Social Services dictates much of the implementation of the IHSS program. Individual counties have minimal input into the program’s procedures and operations.
Comments 1
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CO1The California Department of Social Services dictates much of the implementation of the IHSS program. Individual counties have minimal input into the program's procedures and operations.