Sonoma County. Internal Audit Report. Auditor Controller Treasurer Tax Collector

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Sonoma County Auditor Controller Treasurer Tax Collector Internal Audit Report For the Period: July 1, 2016 June 30, 2017 Engagement No: 3145 Report Date October 20, 2017 Erick Roeser Auditor Controller Treasurer Tax Collector

ERICK ROESER AUDITOR-CONTROLLER TREASURER-TAX COLLECTOR AUDITOR-CONTROLLER TREASURER-TAX COLLECTOR 585 FISCAL DRIVE, SUITE 100 SANTA ROSA, CA 95403 PHONE (707) 565-2631 FAX (707) 565-3489 JONATHAN KADLEC ASSISTANT AUDITOR-CONTROLLER TREASURER-TAX COLLECTOR AMANDA THOMPSON ASSISTANT AUDITOR-CONTROLLER TREASURER-TAX COLLECTOR Kanchan K. Charan, CPA Damian Gonshorowski, CPA Scott Jann, Senior Auditor Audit Manager Audit Supervisor Auditor In Charge Auditor Controller Treasurer Tax Collector Web Site http://sonomacounty.ca.gov/auditor Controller Treasurer Tax Collector/

Table of Contents Engagement No. 3145 For the Period July 1, 2016 to June 30, 2017 Page Executive Summary... 1 Introduction and Background... 2 Objective, Scope and Methodology... 3 Results, Conclusion and Staff Acknowledgement... 4 Supplemental Schedules: Schedule of Revenues and Certified Expenditures... 5 Schedule of Approved Budget to Expenditure Report... 6 Schedule of Reported Expenditures to Certified Expenditures... 7 Schedule of Costs Claimed, Certified, and Recommended Disallowed... 8

Executive Summary Executive Summary The awarded a grant totaling $82,120 to the for the purposes of enhanced investigation and prosecution of workers' compensation insurance fraud cases. As required by the California Code of Regulations, and requested by the District Attorney s Office, we performed certain procedures to certify that grant expenditures were made for the purposes of the program. We noted no exceptions. Engagement No. 3145 Page 1

Introduction and Background Introduction The Internal Audit Division of the Sonoma County Auditor Controller Treasurer Tax Collector s Office has completed an audit of the County of Sonoma District Attorney s (DA s) Office Workers' Compensation Insurance Fraud Program grant awarded by the (CDI) for the period July 1, 2016 to June 30, 2017. We conducted the audit in accordance with the International Standards for the professional Practice of Internal Auditing (Standards), and in accordance with certain sections of the California Insurance Code and Code of Regulations. These standards require that we identify, analyze, evaluate, and document sufficient information and evidence to achieve our audit objectives. We believe that the evidence obtained provides a reasonable basis for the results, observations, and recommendations contained in our report. The primary purpose of our engagement is to conduct an audit of the Program, as required by law, and to certify that Workers' Compensation Insurance Fraud Program expenditures as reported to the State were made for the purposes of the Program as specified in Section 1872.83 of the California Insurance Code, California Code of Regulations Section 2698.59 and the guidelines in the Grant Application County Plan Program Strategy. Background The DA s Office is responsible for prosecution of public offenses in Sonoma County and institutes proceedings for the arrest of persons charged with public offenses. In addition to prosecution of public offenses, the DA s Office advises the County Grand Jury. The Workers Compensation Insurance Fraud Program is administered by the DA s Office. The CDI Workers' Compensation Fraud Program was established in 1991 through the passage of Senate Bill 1218 (Chapter 116). The DA s Office has participated in this program since 1996, and as specified in Section 1872.83 of the California Insurance Code and the Grant Application County Plan, is tasked with actively seeking out and prosecuting insurance fraud within the jurisdiction of the County of Sonoma. The DA s Office is located at the County of Sonoma Hall of Justice Building, 600 Administration Drive, Room 212 J, Santa Rosa, California 95403. The primary goal of the grant is to provide funding for the investigation and vertical prosecution of workers compensation insurance fraud cases referred to the DA s Office by area insurance firms and the CDI Fraud Division. The CDI distributed program funding totaling $82,120 in apportioned funds to the DA s Office Workers Compensation Insurance Fraud Program for the period July 1, 2016 to June 30, 2017. During the period of the audit, the grant funds were used to partially fund one Deputy District Attorney and one District Attorney Investigator position as well as training and audit expenditures associated with the Workers Compensation Insurance Fraud Program. Engagement No. 3145 Page 2

Objective, Scope and Methodology Objective The primary objective of this audit was to determine if the DA s Office Workers Compensation Insurance Fraud Program expenditures were made for the purposes of the program as specified in Section 1872.83 of the Insurance Code, California Code of Regulations Section 2698.59 and the guidelines in the Grant Application County Plan Program Strategy. Scope The audit was for the period July 1, 2016 to June 30, 2017. The scope of our work included the following: o o o A risk analysis to identify significant risks of non compliance with policies, procedures or laws, loss or misuse of assets and inefficiencies in processes. A review and evaluation of internal controls designed to ensure compliance with the above requirements and to adequately reduce the risk identified. Tests of compliance to gain assurance that the internal control system is functioning as intended and is achieving its design objectives. Methodology We performed the procedures outlined below solely to assist the DA s Office in meeting the certification requirement of Code of Regulations Section 2698.59. The DA s Office is solely responsible for the Program and for compliance with statutory requirements related to the program. The procedures were as follows: 1. Obtained a copy of the Program s grant award agreement and attached application to verify the existence and amount of funding available and to be disbursed to the DA s Office. 2. Verified the total grant funds received and deposited by the DA s Office. 3. Traced the personnel costs and operating expenditures reported to the State on the Annual Financial Report to the applicable supporting documentation to verify that the costs reported were accurate and made for the purposes of the Program. 4. Determined whether the amount of grant funds received exceeded expenditures reported to the State. 5. Verified that the various report submission deadlines were complied with. Engagement No. 3145 Page 3

Results, Conclusion and Staff Acknowledgement Results As a result of our procedures, we verified the total grant funds received and deposited by the DA s Office. We also traced the personnel costs and operating expenditures reported to the State on the Annual Financial Report to the applicable supporting documentation to verify that the costs reported were accurate and made for the purposes of the Program. Finally we determined that the amount of grant funds received did not exceed expenditures reported to the State, and verified that the various report submission deadlines were complied with. Conclusion We hereby certify that the $82,120 in expenditures reported by the DA s Office for the Workers' Compensation Insurance Fraud Program as of June 30, 2017 were made for the purposes of the program as specified in Section 1872.83 of the Insurance Code, California Code of Regulations Section 2698.59 and the Grant Application County Plan Program Strategy. Staff Acknowledgement We would like to thank the management and accounting staff of the DA s Office for their time, information, and cooperation throughout the engagement. Engagement No. 3145 Page 4

Supplemental Schedules County of Sonoma District Attorney's Office Workers' Compensation Insurance Fraud Grant Schedule of Revenues and Certified Expenditures For the Year Ended June 30, 2017 Revenues State $ 82,120 Expenditures State 82,120 Excess (Deficiency) of Revenues over Expenditures $ Engagement No. 3145 Page 5

Supplemental Schedules County of Sonoma District Attorney's Office Workers' Compensation Insurance Fraud Grant Schedule of Approved Budget to Expenditure Report For the Year Ended June 30, 2017 Personnel Services Salaries and Benefits Approved Budget $ 72,839 Variance Expenditure Under (Over) Report Budget $ 72,464 $ 375 Operating Expenditures Operating Expenditures 9,281 9,656 (375) Totals $ 82,120 $ 82,120 $ Engagement No. 3145 Page 6

Supplemental Schedules County of Sonoma District Attorney's Office Workers' Compensation Insurance Fraud Grant Schedule of Reported Expenditures to Certified Expenditures For the Year Ended June 30, 2017 Personnel Services Salaries and Benefits Audited Variance Expenditure Expenditures Over (Under) Report Certified Report $ 72,464 $ 72,464 $ Operating Expenditures Operating Expenditures 9,656 9,656 Totals $ 82,120 $ 82,120 $ Engagement No. 3145 Page 7

Supplemental Schedules County of Sonoma District Attorney's Office Workers' Compensation Insurance Fraud Grant Schedule of Costs Claimed, Certified, and Recommended Disallowed For the Year Ended June 30, 2017 Variance Claimed Costs Audited Audited Recommended Costs Costs Over/(Under) For Category Classification Claimed Certified Claimed Disallowance Personnel Services $ 72,464 $ 72,464 $ $ Operating Expenditures 9,656 9,656 Totals $ 82,120 $ 82,120 $ $ Engagement No. 3145 Page 8