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2021-120 Audit Scope and Objectives

Department of Developmental Services—In-Home Respite Program

The audit by the California State Auditor will provide independently developed and verified information related to the delivery of the in-home respite program overseen by the Department of Developmental Services. The audit's scope will include, but not be limited to, the following activities:

  1. Review and evaluate the laws, rules, and regulations significant to the audit objectives.
  2. Select two regional centers each with at least 25,000 consumers and two regional centers each with approximately 1,000 consumers who receive participant-directed respite services and do the following:
    1. Determine whether the regional centers comply with the laws, rules, and regulations that govern service authorization for in-home respite services.
    2. Determine whether regional centers apply monthly or quarterly limits on in-home respite service authorization.
    3. Determine whether there are barriers to consumers' use of authorized in-home respite services.
    4. Determine whether there is a disparity among regional centers in service authorization and usage based on consumers' race, ethnicity, primary language spoken, age, diagnosis, residence type, and service delivery mode.
    5. To the extent applicable and possible, identify the reasons for the low utilization rate of the FMS service delivery model.
  3. Evaluate the benefits of the FMS model and provide recommendations to improve the delivery of in-home respite services.
  4. Review and assess any other issues that are significant to the audit.

California State Auditor's Office
06/30/21

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