Report 2021-107 Recommendation 7 Responses
Report 2021-107: Department of Developmental Services: It Has Not Ensured That Regional Centers Have the Necessary Resources to Effectively Serve Californians With Intellectual and Developmental Disabilities (Release Date: June 2022)
Recommendation #7 To: Developmental Services, Department of
By January 2023, evaluate its processes for monitoring regional centers' performance of quality and biennial reviews to ensure that its processes are sufficient for identifying regional centers' noncompliance.
Annual Follow-Up Agency Response From March 2025
DDS evaluated its processes for monitoring regional centers' performance of quality and biennial reviews to ensure that the processes are sufficient for identifying regional centers' noncompliance. The one-pager previously provided to CSA details regional centers' statutorily required reviews and monitoring of Specialized Residential Facilities which DDS verifies as having occurred during its semi-annual reviews at each of the homes. Any noncompliance by the regional center is noted in DDS' report and the regional center is required to take corrective actions to remediate its noncompliance and improve its oversight of Specialized Residential Facilities. DDS previously provided CSA with documentation relevant to these reviews.
In evaluating our oversight of regional centers' completion of biennial vendor file reviews, DDS determined we did not have a process or mechanism for monitoring regional centers' compliance. DDS subsequently revised its protocol for monitoring regional centers' compliance with the Home and Community based Services (HCBS) Waiver by incorporating a review of regional centers' compliance with biennial vendor file reviews. DDS previously provided CSA with its revised HCBS monitoring protocol which reflects this additional component.
DDS believes it has fully complied with CSA's recommendation.
- Completion Date: June 2023
California State Auditor's Assessment of Annual Follow-Up Status: Pending
The department did not provide documentation to substantiate its claims.
- Auditee did not substantiate its claim of full implementation
Annual Follow-Up Agency Response From June 2024
DDS has evaluated the process for monitoring regional center performance of quality assurance reviews for specialized facilities - ARFPSHN, EBSH, and CCH. This data is reviewed on a regular and ongoing basis to ensure compliance.
- Completion Date: June 2023
California State Auditor's Assessment of Annual Follow-Up Status: Pending
The documentation that Developmental Services provided did not demonstrate that it has sufficient processes for monitoring regional centers' performance of quality and biennial reviews to identify regional centers' noncompliance. Until it provides such documentation, we will continue to report this recommendation as not fully implemented.
- Auditee did not substantiate its claim of full implementation
- Auditee did not address all aspects of the recommendation
1-Year Agency Response
DDS has evaluated the process for monitoring regional center performance of quality assurance reviews for specialized facilities - ARFPSHN, EBSH, and CCH.
DDS has developed an additional component to the biennial HCBS Monitoring Review, effective July 1, 2023, that will include monitoring regional centers' compliance with vendor file reviews. DDS will hold a training for regional centers on June 28, 2023, regarding Title 17 requirements.
- Estimated Completion Date: June 28, 2023
- Response Date: June 2023
California State Auditor's Assessment of 1-Year Status: Pending
6-Month Agency Response
DDS has evaluated the process for monitoring regional center performance of quality assurance reviews for specialized facilities - ARFPSHN, EBSH, and CCH.
- Estimated Completion Date: January 31, 2023
- Response Date: December 2022
California State Auditor's Assessment of 6-Month Status: Pending
60-Day Agency Response
DDS is reviewing its current practices related to oversight of regional center quality assurance monitoring and biennial review of vendor files to determine sufficiency of current practices and areas of improvement.
- Estimated Completion Date: 1/31/2023
- Response Date: August 2022
California State Auditor's Assessment of 60-Day Status: Pending
All Recommendations in 2021-107
Agency responses received are posted verbatim.