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District of Columbia Office of the Auditor

D.C. Nursing Homes Saw Better Outcomes than Elsewhere During Early COVID-19 Waves

The purpose of this audit was to compare D.C. nursing homes to surrounding jurisdictions and national rates to summarize how D.C. nursing homes responded to the COVID-19 pandemic. When compared to the national average, D.C. nursing homes experienced lower resident case and death rates in the late summer and early fall of 2020 relative to the national average during that same time. D.C. also experienced lower staff case rates than the national average prior to the Alpha wave and similar staff case rates after the Alpha wave.
Washington, King County Auditor's Office

Performance Audit of King County’s COVID-19 Pandemic Response

The COVID-19 pandemic had wide-ranging impacts within King County. County leaders and staff worked hard to shift practices to meet the needs of the changing environment. Our analysis and survey results indicate that employee experience and confidence in safety measures varied across the county, potentially indicating increased exposure risk for some employees.
Louisiana Legislative Auditor

Response to the COVID-19 Pandemic in Correctional Facilities

The purpose of this audit was to provide information on the Department of Public Safety and Corrections’ (DOC) response to the COVID-19 pandemic in the correctional facilities it oversees. Overall, DOC faced multiple issues and challenges in addressing the COVID-19 pandemic. DOC protocols complied with CDC guidance in the areas of testing, medical isolation, screening, visitation, personal protective equipment, social distancing, and transfers. However, it did not have processes to verify that correctional facilities implemented these protocols.
Kansas Legislative Division of Post Audit

Comparing the Impact of COVID-19 on Death Rates During Certain Months of 2019 and 2020

Representative John Barker requested this limited-scope audit, which was authorized by the Legislative Post Audit Committee at its February 24, 2021 meeting. Our audit objective was to answer the following question: How did causes of death during the COVID-19 pandemic compare to those before the pandemic? To answer this question, we reviewed death record data from 2019 and 2020 for the last third of each year (September 1 – December 31).
Louisiana Legislative Auditor

Response to the COVID-19 Pandemic in Secure Care Facilities

The purpose of this audit was to provide information on the Office of Juvenile Justice’s (OJJ) response to the COVID-19 pandemic in its secure care facilities. Overall, OJJ faced multiple issues and challenges in addressing the pandemic. We found the agency’s protocols generally complied with guidance from the U.S. Centers for Disease Control and Prevention (CDC) for medical isolation, screening, visitation, personal protective equipment, and social distancing. However, agency officials were unable to verify whether the facilities consistently followed the protocols because of the suspension...
Delaware Office of the State Auditor

Unanswered Questions: Improving Technology, Communications, and Reporting in Long-Term Care Facilities During the Pandemic

This special report examines and assesses the State of Delaware’s preparation of long-term care facilities (LTCFs) for the COVID-19 pandemic, both in the early stages of the pandemic and again six months later. Our goal was to determine if the state was adequately supporting and resolving pandemic-related issues inside LTCFs and if trends or opportunities for improvement existed. To reach our conclusions, we reviewed publicly available applicable federal and state guidance, agency policies and procedures, and information provided by Delaware’s emergency support function State Health Operations...
District of Columbia Office of the Auditor

Bending the Curve: Policies to Mitigate COVID-19 in DC & The Region

This report builds on prior analyses and the results of a body of work published since the beginning of the pandemic to assess the role of the COVID-19 mitigation policy in reducing the impacts of COVID-19 on different populations across the United States and, specifically, in Washington D.C., Maryland, and Virginia.
Louisiana Legislative Auditor

Louisiana's Response to COVID-19 in Nursing Facilities

The purpose of this audit was to provide information on Louisiana’s response to COVID-19 in nursing facilities. We found that nursing facilities in Louisiana faced staffing challenges throughout the COVID-19 pandemic because of staff exposure to COVID-19, illness, or the need to care for family members.
California State Auditor

California Department of Public Health: It Could Do More to Ensure Federal Funds for Expanding the State’s COVID‑19 Testing and Contact Tracing Programs Are Used Effectively

We found that the State has met or exceeded targets for testing individuals for COVID‑19, but contact tracing throughout the State has lagged behind case surges that have far exceeded Public Health’s initial planning
Oregon, Multnomah County Auditor's Office

Audit of Multnomah County's Pandemic Response

We conducted this audit to support transparent and accountable government operations during this unprecedented time. We focused our work on determining steps the county took to ensure that vital services could continue safely and equitably during the pandemic; whether those steps were in line with guidance from the Centers for Disease Control and Prevention and other health authorities to reduce health risks; and what improvements can be made moving forward.