To ensure that it can adequately justify the expenses it charges to the citation account, Health Services should take steps to gain assurance from temporary management companies that the funds they received were necessary. This should include reviewing the support behind temporary management companies e-mails requesting payments. In addition, Health Services should take steps to expand its pool of qualified temporary management companies to ensure that it has sufficient numbers of temporary management companies available and receives competitive prices. Finally, when Health Services charges general support items to the citation account, it should be able to document its rationale for determining the amounts charged.
The Licensing and Certification (L&C) program implemented the recommendation through establishing and executing the attached procedures (Attachment 5, Procedures for Citation Penalty Accounts Expenditure Verification). These measures have ensured that general support items do not erroneously charge to the citation penalty account. L&C Administration Branch developed and disseminated Attachment 5 to L&C Administration staff to ensure proper documentation of charges against the citation penalty account per the bureaus recommendation. (2010-041, p. 52)
Agency responses received after June 2013 are posted verbatim.