MONITORING POLICIES Procedures and Forms Revised January 2012 Board Re-approved February 2012 Amy Barry, Executive Director Buncombe County Partnership for Children, Inc. 2229 Riverside Drive Asheville, NC 28804 (828) 285-9333 Table of Contents 1.0 Monitoring Purpose .......................................................................................... 2 2.0 Scope ................................................................................................................. 3 3.0 Accountability ................................................................................................... 3 4.0 Applicable Documents ...................................................................................... 3 5.0 Monitoring Records........................................................................................... 3 6.0 Monitoring – General Procedure ...................................................................... 4 7.0 Monitoring Compliance Standards for DSPs ..................................................... 5 7.3 Program & Fiscal Staff Requirements ............................................................... 5 8.0 Program Monitoring Standards for In-House Activities.................................... 6 9.0 NC Pre-Kindergarten Program .......................................................................... 7 10.0 Monitoring Non-Compliance Corrective Action ............................................... 8 11.0 Failure to Comply by Direct Service Provider ................................................... 8 12.0 Forms and Checklists for Monitoring ................................................................ 9 1 Buncombe County Partnership for Children Monitoring Policy 1.0 Monitoring Purpose Programmatic and fiscal monitoring is conducted by the Partnership to help Direct Service Providers (DSPs) adhere to their contracts and outcome requirements, identify barriers, find solutions and evaluate the impact of programs on the community. The Partnership may choose to contract with an external monitor to conduct monitoring for in-house activities to provide an objective review of the programs. These policies, procedures and monitoring forms will be updated regularly to maximize promising practices that reflect the objectives of the Buncombe County Partnership for Children and to meet/exceed all state requirements. This policy requires Board of Directors approval. 1.1 To enhance the program effectiveness and service delivery by Direct Service Providers (DSPs) and in-house activity staff; 1.2 To ensure fiscal and programmatic integrity and accountability of the Buncombe County Partnership for Children (BCPC); 1.3 To document procedures that will ensure the accountability and integrity of all BCPC funds in compliance with the BCPC Monitoring Policy; 1.4 To ensure compliance with General Statute 143B-168.12(3); 1.5 To ensure accountability under NCGS 143-6.1, “Nonprofits State Funds Act--Reports on Use of State Funds by Non-State Entities;” 1.6 To meet/exceed the provisions required by the North Carolina Partnership for Children (NCPC) Fiscal Accountability Plan, mandated by General Statute 143B-168.12(a)(4); 1.7 To outline methods for verifying program accountability for all Smart Start funded activities of BCPC: monitoring program activities based on contract activity descriptions, agreements and contracts. 2 2.0 Scope The monitoring policy applies to all activities funded with Smart Start service dollars. This includes activities approved and contracted with NCPC, all Service Agreements, Memoranda of Understanding, and other contractual agreements between BCPC and other parties. All Grants will be monitored in accordance with the Grantee’s contractual agreement. For programmatic monitoring, the sample size will be based on the year to date totals from the most recently completed quarter of the year as reported by the DSP on the Counts Quarterly Report form. Sample sizes range from 10-25% (to be determined by the program monitor) and will include files/data from all activity staff. Copies of DSP’s supporting documentation will be collected by the monitor; confidential information will be omitted or blacked out . Programs that are evidence-based and require that model fidelity be upheld, such as The Incredible Years, may have additional monitoring requirements for which the North Carolina Partnership for Children provides a programmatic checklist to be completed twice yearly. 3.0 Accountability The Executive Director is responsible for ensuring these procedures are implemented and complied with by all BCPC staff and DSPs, and will enlist the support of Program and Fiscal staff as appropriate. BCPC staff will complete site visits and reviews of DSPs performance to ensure compliance with all programmatic, evaluation and fiscal contractual requirements. 4.0 Applicable Documents The monitoring guide and monitoring forms will be flexible documents and will be periodically reviewed and modified to accommodate internal and external factors. The modified documents will be approved by the Executive Director. 4.1 4.2 4.3 4.4 4.5 NCGS 143B-168.12(a) (4) NCGS 143B-168.12(3) Monitoring Program Forms – Sections A- F Monitoring Fiscal Forms – Section G Other applicable documents 5.0 5.1 Monitoring Records All monitoring records, including checklists, will be maintained in the DSPs Monitoring file for at least three years as required by law. 5.2 The schedule of monitoring visits, group meetings and observations will be maintained in BCPC’s electronic files with hard copies kept in the In-house Evaluation files for at least three years. 3 6.0 Monitoring – General Procedure QUARTER First Quarter July– September STAFF ACTIVITIES A. Program staff Facilitate an annual meeting of DSPs to review evaluation, monitoring and contract requirements and provide calendar of reporting due dates Collect Logic Model Results from previous fiscal year Collect and review Counts Quarterly Reports Visit DSPs and provide technical assistance as needed For new DSPs and programs with significant changes Review logic models, Data collection methods Provide technical assistance as needed Complete Risk Assessment Worksheet B. Fiscal Staff Visit DSPs as needed Review financial status reports (FSR) in conjunction with the Program Manager Second Quarter October – December A. Program Staff Collect and review County Quarterly reports and assess progress towards meeting projected outputs B. Third Quarter January – March Fourth Quarter April – June A. Fiscal Staff Visit DSPs as needed Review financial status reports in conjunction with the Program Manager Program staff Collect and review Counts Quarterly Reports and assess DSPs progress towards meeting projecting outputs and outcomes Schedule formal program monitoring visits, distribute customized monitoring tool to each DSP B. Fiscal Staff Schedule formal fiscal monitoring visits to all DSPs Collect mid-year financial projection reports to assess need for additional funds or possible reversions; review with Executive Director and Program Manager A. Program staff Collect Counts Quarterly Reports Complete program monitoring visits to DSPS Assess DSPs’ progress in achieving program outcomes B. Fiscal Staff Collect three quarter financial projection reports to assess need for additional funds or possible reversions; review with Executive Director and Program Manager Complete fiscal monitoring visits to DSPs 4 7.0 Monitoring Compliance Standards for DSPs 7.10 DSPs Requirements: 7.11 Provide BCPC staff all records and documentation necessary to monitor the program including records that document delivery of service as described in the Contract Activity Description and in the DSP contract and provide supporting documentation for compliance with all terms included in DSP contract including copy of program evaluation logic model and Counts Quarterly Reports; 7.12 Data collection tools and measurement process used to report numbers for performance reporting outputs and outcomes; 7.13 Submit fiscal and program reporting forms on a monthly, quarterly, mid-year and/or annual basis (calendar of reporting due dates is provided at the start of the fiscal year), as required by BCPC for each activity included in the contract. 7.2 Program Staff Requirements 7.21 Decide monitoring date/time collaboratively with the DSPs prior to conducting a formal monitoring visit, allowing time for DSPs to prepare and make available necessary documentation for completion of the visit. Visit date will be confirmed in writing. 7.22 Provide copy of customized monitoring tool to DSPs for each activity. 7.23 Provide technical assistance to DSPs in areas that include, but are not limited to, the development of adequate reporting and record keeping, outcomes measurement, tracking of data that meets BCPC and state requirements. 7.24 Assist DSPs with the development of program outputs and outcomes in addition to data collection methods to track program results program/community impact. 7.25 Provide technical assistance as needed including support on outreach methods, identification of potential collaborators and review of promotional materials. 7.27 Collaborate with fiscal and administrative staff in providing technical assistance to DSPs. 7.28 Adjust frequency of site visits and contact with the DSPs to optimize the program’s performance in reference to Buncombe County Partnership for Children Risk Assessment Worksheet 7.29 Document the program monitoring visit and provide a copy of the report to the DSPs, including an opportunity for responses. Monitoring report and DSP responses, if provided, will be kept in the DSP monitoring file. 7.3 Fiscal Staff Requirements 7.31 Schedule formal monitoring visit based on a mutually agreed upon date. Advance note notice is meant to allow time for DSPs to prepare and make available necessary documentation for completion of the visit. 7.32 Inform DSPs in writing of BCPC’s guidelines for fiscal monitoring. 5 7.33 Assist with technical training on financial forms (i.e., Financial Status Reports, Cash and Inkind, Budget Revision/Amendment). 7.34 Collaborate with Program and Administrative staff in providing technical assistance to DSPs. 7.35 Conduct on-site observation, inquiry, and review of procedures in accounting and contracting. Review will include: fiscal records and reports, including programs expenditures and audit approved documentation for reporting Cash and In-Kind contributions. 7.36 Recommend areas for improvement during visit (specific to each DSP/appropriate entity). 7.37 Upon completion of fiscal visit, provide in writing any findings using the Direct Service Provider Fiscal Monitoring Program checklist. 7.38 Provide a copy of the report to the DSP using the Fiscal Monitoring Report which requires the DSP to provide a written response regarding areas of concern. 8.0 Program Monitoring Standards for In-house Activities 8.1 Sustaining Facility Quality Advisory Committee (SFQAC) Role The SFQAC will provide oversight and recommendations to the SFQAC staff, as appropriate, for necessary activity improvements, modifications and accountability. 8.2 Provides general guidance and counsel to the SFQ staff regarding the development, implementation and operation of the activity. 8.3 Also serves to discuss with staff any unresolved participant issues. Promotes settlement or compromise to avoid disagreement between participants and BCPC. 8.4 Includes five to seven members, including Smart Start board members, child care directors, and child caregivers, and will include ad hoc expertise as appropriate an issue. 8.5 Meets quarterly and/or as necessary, to fulfill its duties. 8.6 The SFQAC will review quarterly, any submitted appeal letters concerning unresolved issues, including, but not limited to, unresolved issues from Sustaining Facility Quality grantees. The appeal letter must be submitted to the Executive Director, in printed or typed format, and provide all relevant information. Additional supporting documentation may be submitted with the appeal letter. The appeal letter will be confidential, and will be promptly reviewed at the committee’s next meeting. A written response will be provided by the Executive within 30 days after the committee meeting. 8.7 Written minutes shall be maintained from the meetings and kept on file. 8.8 The BCPC may only award Smart Start funds to a recipient for state approved activities included in the NCPC-BCPC contract. 6 8.9 The BCPC will monitor a representative sample of early care and education facilities and that participate in the Sustaining Facility Quality Program. 8.91 Fund Availability The awards specified in SFQ are dependent and contingent upon, and subject to the appropriation and allocation of funds to BCPC from NCPC for the purposes set forth in the Activity, and are contingent upon fund availability and allocation from the State of North Carolina, as approved by the N.C. General Assembly, and the BCPC Board of Board of Directors. 8.92 Award Criteria BCPC staff will be responsible for setting the standard payment amounts and monitoring the funding availability of the SFQ criteria and making adjustments as needed to meet the payment requirements of each criteria. The BCPC will develop and distribute schedules for the SFQ awards based upon the funding allocated to the activity by the BCPC Board, funding priorities, and funding availability. 8.93 Center and Home Eligibility Any center or home that has an active license issued by the Division of Child Development and Early Education (DCDEE) to operate in Buncombe County with a star rating of 4, 5 or is nationally accredited by the National Association for the Education of Young Children (NAEYC), provides care for children ages 0-5 not enrolled in a school-age program will be eligible to participate in SFQ. Facilities operating under a provisional, special provisional or probationary license are not eligible to participate. A center or home that works exclusively with school age children is NOT eligible. SFQ may require the attainment and maintenance of a specified star rating or national accreditation. Any center or home that loses its license to operate or does not meet the licensure requirement for a specific criterion of SFQ will be immediately deemed ineligible and will not receive any payments under SFQ for the period of ineligibility. A center or home must be approved by the Department of Social Services Child Care Subsidy Program to accept subsidized children. BCPC reserves the right to verify that this standard is met. 8.94 Eligibility Criteria Sustaining Facility Quality – Facility Awards eligibility criteria are reviewed and revised annually. Please see the current copy of the Grant Agreement (attached). 9.0 NC Pre-Kindergarten Program As the local NC Pre-K administrator, the BCPC Program Coordinator will monitor NC Pre-K sites using the monitoring tool and following the procedures provided by the Division of Child Development and Early Education DCDEE. 9.1 NC Pre-Kindergarten Advisory Committee The NC Pre-K Advisory Committee will provide program oversight to the NC Pre-K program administered by the BCPC as outlined in the NC Pre-K Rrogram Guidelines and Requirements as determined by the DCDEE. 7 9.2 Minutes of the NC Pre-K Advisory Committee will be taken and kept on file. 9.3 Members of the NC Pre-K Advisory Committee will adopt a formal Conflict of Interest policy for voting purposes. 10.0 Monitoring Non-Compliance Corrective Action In cases where an activity is not being implemented according to the NCPC-approved Contract Activity Description and terms of the contract, the Program Staff will: 10.1 Work with the DSPs to develop a Corrective Action Plan. Staff will document what corrective actions are needed/ and or unattained. Staff will document technical assistance given/recommended to assist the DSPs to make corrective actions. 10.2 Identify methods that the DSP will implement to target the noted non-compliant areas 10.3 Complete applicable monitoring forms for non-compliance 10.4 Identify the DSP as a High Risk DSP and adhere to the policy for same. 10.5 Ensure that future monitoring activities will specifically focus on implementing the plan and making improvements. 10.6 Staff will keep the Executive Director informed of DSP progress/lack of progress in accomplishing the Corrective Action Plan. 11.0 Failure to Comply by Direct Service Provider If the DSP fails to make sufficient progress in taking corrective action within target dates for completion, without reasonable justifications for failing to complete either the Corrective Action Plan or if resolution continues to be unobtainable, the following steps will be initiated to non-renew, suspend or terminate the contract by taking applicable actions in accordance with Buncombe County Partnership for Children’s DSPs Contract, Sections 35 – 39, Performance Default, Suspension, Termination, Waiver of Default and Time is of Essence. 11.1 Executive Director and appropriate Board member/Committee Chair will request a meeting with the DSP Administrator and staff to discuss the Activity contract requirements, DSP performance and future of the contract. 11.2 Decisions from this meeting will be placed in writing (certified/registered mail) by the Executive Director to the Contract Administrator. 11.3 DSP Contract Sections 35 – 39, Performance Default, Suspension, Termination, Waiver of Default and Essence of Time will be followed as appropriate. 11.4 The Smart Start of Buncombe County Board will be kept informed of the activities of the DSP through committee presentations as appropriate and will be informed prior to DSP contract being suspended, non-renewed or terminated. The DSP will only be paid for services actually delivered through the termination date. 11.5 8 MONITORING FORMS 11.0 Forms / Checklists 9 Monitoring Report: SECTION A. Buncombe County Partnership for Children Monitoring Checklist and Report on DSPs Organization Efficiency "Risk" is defined as a measure of a Direct Service Provider's program management capability. "Risk" is determined through a review of important LP management indicators and an assessment of the Direct Service Provider's overall compliance in these critical areas. The management indicators (risk assessment criteria), which have been selected for an objective and non-invasive assessment of program management capability, are as follows: CRITERIA Key Staff Experience of Key Staff Allocation Contract Compliance FSR Reporting Process Quarterly Reporting Process Outputs Success Stories and/or participant quotes Cash & In-Kind Documentation Reversion Status DEFINITION AND INFORMATION SOURCE Refers to the presence of a Program Director or a Fiscal Director in the local DSPs office. One person serving in both capacities must be labeled formally as either the Fiscal Director or the Program Director. (Source DSPs office) Refers to the number of years of experience that the key staff members have as applied to the specific job function currently executed. Technical qualification means that the individual has professional training in the respective area. (Source: DSPs office.) Refers to the total amount of LP funding the DSPs receive from NCPC/LP during the current fiscal year, excluding carry forward. (Source: LP Contracts, Administrator records of Allocation) Refers to DSPs compliance to Contract between NCPC/LP and their Agency. DSPs will be monitored for compliance with all program related legislative mandates. (Liabilities and Legal Obligations, Administrator for the contract, General Provisions, Payment for Services, Title to Equipment, copyrights and Distribution of Material, supplanting, conflict of Interest, Confidentiality of Client Information, and Amendments. Compliance with Section IX (A-T). (Source: DSPs contract) Refers to DSPs submission of monthly and quarterly Financial Status Report (FSR) to Local Partnership. Measured as to timely submission with accuracy. Source: DSPs Contract and schedule of report due calendar. Refers to the DSPs submission of the LP Quarterly Report to the Local Partnership Office in the areas listed to the left. This document is used to compile the Statewide program report for the General Assembly and for local data needs such as Program Planning and Allocation Committees. Refers to the percentage of total service dollars that are reverted to the Buncombe County Partnership for Children /NCPC under the same DSPs during the previous or current fiscal month, quarter and/or year, whether voluntarily or involuntarily. (Source: Yearend FSR submitted to LP) To remain objective in determining a DSPs risk status, the Buncombe County Partnership for Children has developed an Internal Monitoring instrument called the Buncombe County Partnership for Children Risk Assessment Worksheet. In this worksheet, the level of risk is measured as follows: Low Risk Level; Moderate Risk Level; and High Risk Level. \\SERVER\Files\Policies and Procedures\Monitoring P&P\Revised Monitoring P&P January 2012.docx 10 Procedures for Monitoring Form Sections A, B, C Risk-Associated Monitoring Protocol for Site Visits For each overall risk assessment status listed below, appropriate monitoring protocol is indicated. Buncombe County Partnership for Children Staff and DSPs are expected to follow the monitoring protocol listed for each overall risk assessment status. Overall Risk Assessment – Low Risk 1. At least one visit per year with technical assistance to discuss implementation, evaluation and barriers to progress. 2. Ongoing consultation and technical assistance via group meetings and/or email/phone communications to ensure that low risk issues do not become more serious. 3. Buncombe County Partnership for Children’s Fiscal Staff will monitor expenditures thru monthly and/or quarterly Financial Status Reports. Program staff, in writing, will identify any concerns to the Fiscal staff for monitoring of the FSR’s and other appropriate documentation. Overall Risk Assessment – Moderate Risk 1. At least one visit per year with technical assistance to focus on moderate risk monitoring issues observed in the monitoring checklist. 2. Ongoing consultation and technical assistance via group meetings and/or email/phone communications to ensure that low risk issues do not become more serious. On site follow-up with DSPs for any written improvement plan (not a non-compliance issue). 3. Buncombe County Partnership for Children’s Fiscal Staff will monitor expenditures thru monthly and/or quarterly Financial Status Reports. Program staff, in writing, will identify any concerns to the Fiscal staff for monitoring of the FSR’s and other appropriate documentation. Overall Risk Assessment – High Risk 1. Target one-on-one technical assistance 2. Target several visits per year with a focus on eliminating/reducing identified high risk issues observed on the monitoring checklist. 3. Ongoing consultation and technical assistance via group meetings and/or email/phone communications to ensure that risk issues do not become more serious. On site follow-up with DSPs for any written improvement plan (not a non-compliance issue). 4. On-going consultation and technical assistance regarding resolution of moderate and high-risk issues and corrective action plans for non-compliance issues. Protocol for Monitoring High Risk Assessment Criteria The following risk assessment items automatically result in a DSPs being placed in a high priority/high risk category: 1. No Program Director or Fiscal Director 2. Non-Compliance to Contract 3. Reversions of 15% or more 11 Smart Start of Buncombe County Program Monitoring Fiscal Year Activity: Direct Service Provider: Local Partnership Monitor(s): Direct Service Provider Staff: Date: I. Contract Activity Description (CAD) This form is customized for each Smart Start funded activity. Example, Child Care Health Consultation Child Care Health Consultants will provide health and safety consultation, on site education for childcare providers, and immunization record compliance oversight. Technical assistance will be offered to all childcare facilities; however, facilities will be prioritized for service based on criteria that may include 1-3 star rating, Infant-toddler enrollment, and history of health, safety, sanitation issues. On-site educational consultation with parents and childcare providers will be available to address the issues of children with special health, developmental, contagious disease and/or chronic medical needs. This activity may also provide vision and hearing screenings as well as consultation and training to childcare providers and families on physical and nutrition strategies. On a limited basis, as per childcare providers' concerns, Ages and Stages developmental pre-screenings tools will be distributed to childcare facilities, results reviewed, and consultation and referrals provided. Services will be provided on-site at childcare facilities during normal business hours and as needed to meet the needs of childcare providers and to collaborate with medical homes. Is the Direct Service Provider’s CAD consistent with the Local Partnership’s CAD? Yes No - If not, explain below: 1 II. CAD Requirements 1. Child Care Health Consultants 2. will provide health and safety consultation 3. on site education for childcare providers, 4. immunization record compliance oversight 5. Technical assistance will be offered to all childcare facilities; however, facilities will be prioritized for service based on criteria that may include 1-3 star rating, Infant-toddler enrollment, and history of health, safety, sanitation issues. 6. On-site educational consultation with parents and childcare providers will be available to address the issues of children with special health, developmental, contagious disease and/or chronic medical needs. 7. This activity may also provide vision and hearing screenings as well as consultation and training to childcare providers and families on physical and Substantiating Documentation CAD REQUIREMENTS Monitoring Tasks Performed 2 Results of Testing nutrition strategies. 8. On a limited basis, as per childcare providers' concerns, Ages and Stages developmental pre-screenings tools will be distributed to childcare facilities, results reviewed, and consultation and referrals provided. 9. Services will be provided on-site at childcare facilities during normal business hours and as needed to meet the needs of childcare providers and to collaborate with medical homes. \\SERVER\Files\Policies and Procedures\Monitoring P&P\Forms\Monitoring Tool Template 2012.doc 3 Fiscal Monitoring Report Checklist: Section A BUNCOMBE CO. PARTNERSHIP FOR CHILDREN FY 2XXX-2XXX FISCAL MONITORING PROGRAM DSP: ACTIVITY #: VISIT DATE: COMPLETED DATE BY COMPLETED PRE MONITORING REVIEW 1 SEND FISCAL MONITORING QUESTIONAIRE TO DSP. 2 REVIEW COMPLETED QUESTIONAIRE 3 REVIEW DSP CONTRACT AND REVISIONS/AMENDMENTS 4 SCHEDULE DATES & PAYMENTS TO DSP 5 REVIEW MOST RECENT FSR 6 SCHEDULE & REVIEW MONTHLY DSP EXPENSES 7 REVIEW AUDIT REQUIREMENTS 9 SCHEDULE FIXED ASSET PURCHASES FOR FISCAL YEAR ON SITE: 1 DISCUSS WITH DSP DISCREPANCIES NOTED IN PRE MONITORING REVIEW. 2 DISCUSS UNUSUAL FLUCTUATIONS IN MONTHLY EXPENDITURES 3 EXPENSE REVIEWS 4 FIXED ASSET REVIEW FINDINGS & CONCLUSIONS 1 UPON CONCLUSION OF VISIT, MEET WITH DSP TO DISCUSS RESULTS OF FISCAL MONITORING 2 ISSUE REPORT UPON COMPLETION OFMONITORING VISIT 3 RECEIVE WRITTEN RESPONSE FROM DSP 4 FOLLOW UP, IF NECESSARY, MAJOR FINDINGS 1 Buncombe County Partnership for Children Memo To: From: Date: RE: Fiscal Monitoring Review This is to confirm my fiscal monitoring review visit on XXXXXXXXXXXXXXXXX. Please have available for review documentation to include the equivalent of time sheets, payroll registers, invoices, cancelled checks and any other information to support the following charges on monthly FSR’s: Also, enclosed is a Fiscal Monitoring Questionnaire. Please have it completed and signed and I will collect it during my visit. Please answer all questions; indicate N/A to any that do not apply. Thanks for your cooperation and I look forward to my visit. 2 Buncombe County Partnership for Children FY 2XXX-2XXX Direct Services Provider Fiscal Monitoring Questionaire DSP: Contract #: Activity Description Activity Number Current Budget YES NO Does your organization sponsor Smart Start related programmatic activities requiring payment of fees by participants? Are any expenses claimed for reimbursement on the monthly Financial Status Report (FSR) based on a cost allocation method? (if yes attach a page explaining the method) Does your organization receive, use or expend (mark yes to the option that applies) $0 to $24,999 in total State funds in a fiscal year from all sources? $25,000 to $500,000 in total State funds in a fiscal year from all sources? More than $500,000 in total State funds in a fiscal year from all sources? Are receipts and disbursements in accordance with your contract with Buncombe County Partnership for Children recorded and reported on a cash basis? Has any equipment with a cost in excess of $500 been purchased during this contract year with Smart Start funds? Has any equipment with a cost in excess of $500 been purchased in prior contract years with Smart Start funds? Has any equipment with a cost in excess of $500 that was purchased with Smart Start funds been disposed of? Are records maintained indicating the amount and value of Cash and In Kind Contributions reported to Buncombe County Partnership for Children? Are summary or detail Trial Balances available that reconcile to disbursements reported on the monthly Financial Status Report (FSR)? Fiscal Year Beginning date: Fiscal Year Ending date: Prepared by: ________________________________________________________ _________________________ _____________________________ Date Phone # 3 200X-200X Smart Start of Buncombe County Risk Assessment Worksheet (for Internal Desk Review) Direct Service Provider: Activity: Contract Number: Allocation as of 4/30/04: Evaluator/Monitor: Date Form Completed: Criteria Weight Key Staff Experience of Program Director Allocation Contract Compliance Financial Status Reporting Process (FSR) Low Moderate High Program Director and Fiscal Director/Coordinator Program Director and NO Fiscal Director/Coordinator NO Program Director Or Fiscal Director/Coordinator Less then one year 3+ years experience and 1-3 years experience and experience and/or NOT technically qualified technically qualified technically qualified DSP Allocation of <$50,000 DSP Allocation of $50,000 to $100,000 DSP Allocation of $100,000 or more DSP fully compliant Minor non-compliance Major non-compliance Consistently submitted on time and correct Periodically late with few errors Consistently late (last two reports) and/or containing errors Periodically late with few errors Consistently late (last two reports) and/or containing errors or omissions Quarterly Reporting Consistently submitted on time Reversion Status None: Voluntary Voluntary Reversions: reversions less than 5% Between 5% and 15% of of program program allocation Risk Assessment Scoring 0 Low Overall Risk Assessment Scoring Low 0 Moderate 4 Involuntary reversion or voluntary reversions greater than 15% of program allocation 0 High 200X-200X Smart Start of Buncombe County Risk Assessment Worksheet (for Internal Desk Review) Direct Service Provider: Activity: Contract Number: Evaluator/Monitor: 0 0 0 Date Form Completed: Smart Start of Buncombe County Staff Comments: 5 MASTER: MONITORING REPORT COVER LETER Date To Dear: Enclosed is the report of my visit to your organization for the purpose of performing a fiscal monitoring review of our contract xx-xxx. The report indicates areas I reviewed and the results of the review. Thank you and your staff for your cooperation and assistance. If you have any questions about the report please call me at xxx-xxxx ext. or e-mail me at xxx@smartstart-buncombe.net. Sincerely, Enclosures 6 MASTER: FISCAL MONITORING REPORT Buncombe County Partnership for Children Fiscal Monitoring Report for (DSP) # (Contract #) On (Date), Buncombe County Partnership for Children performed a limited scope fiscal monitoring visit as part of the North Carolina Partnership for Children’s Fiscal Accountability to ensure the fiscal integrity and accountability of State funds allotted to local partnerships. The monitoring visit addressed various contract compliance areas and supporting documentation for selected financial transactions. The fiscal monitoring was limited to the following areas: 1. Pre-monitoring review: a. Completion and review of Fiscal Monitoring Questionnaire b. Review of Contract and amendments c. Review of FSR for the period ending (Date) d. Review of external audit requirements e. Review for fixed asset purchases from Smart Start funds 2. On site visit a. Discuss discrepancies noted in pre-monitoring review b. Discuss fluctuations in monthly expenditures c. Review documentation for selected FSR reported expenses d. Review fixed asset documentation Tests of financial records may have been extended where deemed necessary. Conclusion Except as noted below, the items reviewed and tested for the (DSP) (Contract #) in the above areas were in compliance with the Smart Start contract and were adequately documented. Findings and Recommendations 1. Pre-monitoring review – Recommendation 2. On site review – Recommendation 7 Monitoring Form SECTION C Implementation of Corrective Action Plan Direct Service Provider: ____________________________________________ Activity: __________________________________________________________ Program Staff: ________________________________________________ Date: _________________________ Non-Compliance Area: ______________________________________________________________________ Observations: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Recommendations: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Buncombe County Partnership for Children Staff Date: ______________________________________________________________________ Direct Service Provider Date: 8 Monitoring Form SECTION C CORRECTIVE ACTION PLAN Direct Service Provider: _____________________________________________Program Staff: ________________________ (To Be Completed by LP staff) Desk Review & Monitoring Checklist NonCompliance Area Constraints to Full Compliance Proposed Action to be taken by DSPs (with target dates for completion) Target Date For Full Compliance Interim TA Support Recommended Follow-up Monitoring Visit Dates Step 1: _________________________________ Step 2: _________________________________ Step 3: _________________________________ Step 4: Step 1: _________________________________ Step 2: _________________________________ Step 3: _________________________________ Step 4: Step 1: _________________________________ Step 2: _________________________________ Step 3: _________________________________ Step 4: Signature DSPs: _________________________________________ Date: __________ Signature Buncombe County Partnership for Children: Date: __________ 9 __________________ Monitoring Form SECTION C Buncombe County Partnership for Children Staff Comments Date:_____ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ Action Required: □ Yes □ No Revised: □ A Completed: □ A If yes, which Monitoring Form Section - □ □ B B □ C □ C _____________________________________________________________________________________________ Buncombe County Partnership for Children Staff Date 10