Day Healthcare

California State Auditor

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Oversight of Long-Term Care Programs:
Opportunities Exist to Streamline State Oversight Activities

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April 2004 2003-111

The first five copies of each California State Auditor report are free. Additional copies are $3 each, payable by check or money order. You can obtain reports by contacting the Bureau of State Audits at the following address: California State Auditor Bureau of State Audits 555 Capitol Mall, Suite 300 Sacramento, California 95814 (916) 445-0255 or TTY (916) 445-0033 OR This report is also available on the World Wide Web http://www.bsa.ca.gov/bsa/ The California State Auditor is pleased to announce the availability of an on-line subscription service. For information on how to subscribe, please contact the Information Technology Unit at (916) 445-0255, ext. 456, or visit our Web site at www.bsa.ca.gov/bsa Alternate format reports available upon request. Permission is granted to reproduce reports.

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April 13, 2004

2003-111

The Governor of California President pro Tempore of the Senate Speaker of the Assembly State Capitol Sacramento, California 95814 Dear Governor and Legislative Leaders: As requested by the Joint Legislative Audit Committee, the Bureau of State Audits presents its audit report concerning the State’s oversight structure of six long-term care programs that the departments of Health Services, Aging, and Social Services oversee. This report concludes that government oversight is critical to protect vulnerable clients in long-term care facilities; however, a balance should exist between appropriate oversight and allowing providers to operate independently. Significant opportunity exists to streamline oversight activities for three programs. For the adult day health care program, consolidating... [continues]

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