Report 2010-103R Recommendation 1 Responses

Report 2010-103R: Department of Public Health: It Faces Significant Fiscal Challenges and Lacks Transparency in Its Administration of the Every Woman Counts Program (Release Date: July 2010)

Recommendation #1 To: Health Care Services, Department of

To the extent that Public Health continues to fund its various contracts, it should establish clearer expectations with its contractors concerning how much money is to be spent directly on the different aspects of the EWC program and should monitor spending to confirm that these expectations are being met.

Agency Response*

Will not implement

  • Response Type†: Annual Follow Up
  • Response Date: October 2016

California State Auditor's Assessment of Status: Will Not Implement


Agency Response*

Will not implement

  • Response Type†: Annual Follow Up
  • Response Date: October 2015

California State Auditor's Assessment of Status: Will Not Implement


Agency Response*

Will Not Implement

  • Response Type†: Annual Follow Up
  • Response Date: October 2014

California State Auditor's Assessment of Status: Will Not Implement


Agency Response*

EWC believes its current practice is adequate for monitoring contract activities and spending. See Exhibit A - Scope of Work, Santa Barbara County Public Health Department; Contract #12-89329 (Attachment 1). Contractors are required to submit a biannual Progress Report detailing their progress in meeting Scope of Work objectives. See Regional Contractor Progress Report Checklist, Santa Barbara County Public Health Department; Contract #12-89329 (Attachment 2). All invoices are required to include full supporting documentation for expenses charged. Additional monitoring is not required to confirm that contract expectations are being met.

  • Response Type†: Annual Follow Up
  • Response Date: November 2013

California State Auditor's Assessment of Status: Will Not Implement


Agency Response*

EWC believes its current practice is adequate for monitoring contract activities and spending. Contractor activities are tied to the salaries of staff performing the duties plus associated operating costs. For contract regional coordinators, "provider network duties" and "provider site reviews" are performed by nurse clinical coordinators. Tailored health education is performed by health educators. These classifications are funded in the personnel line-item and can be seen in budget and invoice detail. Clinical coordinators are assigned specific numbers of site reviews to conduct each fiscal year in accordance with the funded FTE (30 site visits per 1 FTE). Similarly, health educators are assigned specific numbers of women to reach through tailored health education each fiscal year. Progress for each deliverable is reported biannually. Contractors provide documentation for all activities and expenses invoiced during annual site reviews. EWC staff continuously track, monitor and verify that all SOW deliverables have been completed each FY and that invoices can be adjusted if the contractors fail to perform part or all of a specific deliverable.

  • Response Type†: Annual Follow Up
  • Response Date: October 2012

California State Auditor's Assessment of Status: Will Not Implement


All Recommendations in 2010-103R

†Response Type refers to the interval in which the auditee is providing the State Auditor with their status in implementing recommendations made in an audit report. Auditees must submit a response regarding their progress in implementing recommendations from our reports at three intervals from the release of the report: 60 days, six months, and one year or subsequent to one year.

*Agency responses received after June 2013 are posted verbatim.


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