Maryland Did Not Comply With Federal Waiver and State Requirements at 20 Adult Day Care Facilities Audited

Why OIG Did This Audit

• OIG has conducted health and safety audits of adult day care and foster care homes in various States. Those audits identified multiple health and safety issues that put children and adults at risk.
• This audit examined whether adults participating in Maryland’s Home and Community-Based Services waiver program were at risk.
• This audit determined whether Maryland complied with Federal waiver and State requirements in overseeing adult day care facilities that serve adults who receive services through the program.

What OIG Found

Maryland did not fully comply with Federal waiver and State requirements in overseeing providers that serve adults receiving adult day care services through the program. Of the 20 facilities we visited:

• 18 did not comply with 1 or more health and safety requirements, and
• all 20 failed to meet 1 or more administrative requirements.

In total, we found 253 instances of noncompliance with these requirements. Maryland did not detect instances of noncompliance because Maryland’s inspections of facilities were insufficient to ensure a continuously safe and nonhazardous environment.

What OIG Recommends

We made three recommendations to the State agency to ensure that providers correct 253 instances of provider noncompliance identified in this report; improve its oversight and monitoring of providers; and collaborate with providers to enhance their facilities, staffing, and training. The full recommendations are in the report.

In written comments on our draft report, the State agency concurred with all three recommendations.

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