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Annual Report 2019 of the Office of the Auditor General of Ontario Follow-Up Report on Audit Recommendations

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Annual Report 2019 of the Office of the Auditor General of Ontario Follow-Up Report on Audit Recommendations Office of the Auditor General of Ontario Annual Report 2019 Follow-Up Report on Audit Annual Report Annual Recommendations 2019 Volume 4 Office of the Auditor General of Ontario To the Honourable Speaker of the Legislative Assembly In my capacity as the Auditor General, I am pleased to submit to you Volume 4 of the 2019 Annual Report of the Office of the Auditor General of Ontario to lay before the Assembly in accordance with the provisions of section 12 of the Auditor General Act. Bonnie Lysyk, MBA, FCPA, FCA Auditor General Fall 2019 Toronto, Ontario An electronic version of this report is available at www.auditor.on.ca © 2019, Queen’s Printer for Ontario Ce document est également disponible en français. Cover photograph credits: top left: © iStockphoto.com/yacobchuk ISSN 1719-2609 (Print) top right: © iStockphoto.com/Mooneydriver ISBN 978-1-4868-3962-9 (Print, 2019 ed.) (Volume 4) middle right: © iStockphoto.com/Elenathewise ISSN 1911-7078 (Online) bottom left: © iStockphoto.com/FatCamera ISBN 978-1-4868-3954-4 (PDF, 2019 ed.) (Volume 4) bottom right: © iStockphoto.com/WanjaJacob Table of Contents Reflections 5 Summary 7 Chapter 1 Follow-Up Reports on 2017 Annual Report Value-for-Money Audits 12 Section 1.01 Assessment Review Board and Ontario Municipal Board 15 Section 1.02 Cancer Treatment Services 31 Section 1.03 Community Health Centres 50 Section 1.04 Emergency Management in Ontario 62 Section 1.05 Farm Support Programs 79 Section 1.06 Independent Electricity System Operator— Market Oversight and Cybersecurity 93 Section 1.07 Laboratory Services in the Health Sector 106 Section 1.08 Ministry Funding and Oversight of School Boards 121 Section 1.09 Ontario Public Drug Programs 133 Section 1.10 Public Health: Chronic Disease Prevention 146 Section 1.11 Real Estate Services 158 Section 1.12 School Boards’ Management of Financial and Human Resources 172 Section 1.13 Settlement and Integration Services for Newcomers 190 Section 1.14 Social and Affordable Housing 204 Section 1.15 Toward Better Accountability—Quality of Annual Reporting 218 Section 1.16 Public Accounts of the Province 226 Chapter 2 Follow-Up Reports on Special Reports Section 2.01 The Fair Hydro Plan: Concerns About Fiscal Transparency, Accountability and Value for Money 234 Chapter 3 Follow-Up on Reports Issued by the Standing Committee on Public Accounts 238 Section 3.01 Immunization 241 Section 3.02 Independent Electricity System Operator— Market Oversight and Cybersecurity 248 Section 3.03 Metrolinx—Public Transit Construction Contract Awarding and Oversight 253 Section 3.04 Public Accounts of the Province 259 Section 3.05 Review of Government Advertising 262 Chapter 4 Follow-Up on Audit Recommendations from 2012 to 2018 263 iv Reflections Bonnie Lysyk Auditor General of Ontario When we perform value-for-money audits, we will not question government policy, our reports spend considerable time with the organizations we may challenge the status quo on how government audit—ministries, Crown agencies and organiza- policy has been implemented or delivered. tions in the broader public sector (such as hospitals, Recommendations are a critical part of our audit long-term-care homes, school boards, universities reports; their implementation is important to drive and colleges)—discussing how their programs and positive improvements in the cost-effective delivery services are delivered to Ontarians and whether of programs and services for Ontarians. The audit they can be delivered more efficiently, economically process seeks input and agreement on these recom- and effectively. mendations from senior management in the entities Our audit work culminates in the issuance of we audit prior to the finalization of the reports. value-for-money audit reports that contain con- After our reports are tabled, we operate with siderable information about the particular subject the understanding that the recommendations in we have audited. These reports almost always those reports will be implemented within a reason- include recommendations designed to improve able period of time, which can vary depending on performance. the complexity and work required to implement Reports are written to provide useful informa- each recommendation. tion for senior decision-makers in government and Sometimes, recommendations will no longer be the broader public sector who seek to determine applicable—for example, if there have been policy how programs and services can better serve Ontar- and program changes since our report was issued, ians, if they are operating in compliance with or an alternative action has been taken to achieve a legislation, and if resources used are achieving the positive program or service outcome; this is reason- desired program or service outcomes. able and expected. Other recommendations are Where applicable, our reports also answer ques- implemented slowly, or not at all, which can mean tions as to whether there is appropriate oversight of that their potential benefits are either delayed those receiving taxpayer funds and whether monies or lost. disbursed through transfer payments, grants or We have, for a long time, issued follow-up other contractual arrangements are being used as reports two years after publication of the original intended. Our reports also look at innovative prac- report to assess the progress made in implementing tices of programs and delivery models elsewhere in our recommendations. However, we found that Canada, the US and often other jurisdictions such many recommendations older than two years had as the United Kingdom and Australia. Although we not been implemented, and the implementation 5 6 rate seemed to stagnate after our two-year follow- We believe the Committee’s work is critical in up reports. holding ministries, agencies and organizations in As a result, we set up a team three years ago, the public and broader public sectors accountable with the responsibility to follow up on our recom- to improve the delivery of programs and services to mendations older than two years (beginning with Ontarians. Their recommendations and/or infor- recommendations from our 2012 Annual Report). mation requests are, in most cases, being acted on. We also did this because our audit work showed that We also encourage timelier action and implementa- recommendations we issued in the past often had to tion of the Committee’s recommendations. be made again because program and service issues raised in past audits had still not been addressed. Following up on recommendations is often more Acknowledgements cost-effective than re-auditing the same operations I would like to thank the many people in the public (where changes have been minimal). It is encour- and broader public sectors who have assisted us aging that we are seeing, through our follow-up with completing this year’s follow-up work. work, steadily increasing implementation rates for The information contained in this volume of our recommendations from past years. However, imple- 2019 Annual Report is the result of the excellent mentation needs to be timelier—it has been taking work of the dedicated staff of my Office, with assist- far too many years before significant improvements ance from staff in Ontario’s Internal Audit Division. to some programs and services are made. A special mention goes to Mr. Richard Kennedy, the This is illustrated by our comprehensive audit former Chief Internal Auditor and Assistant Deputy of the Ontario Disability Support Program in Minister, Ontario Internal Audit Division, for his co- Volume 1, Chapter 3, Section 3.09 of this year’s operation and assistance over the years. Annual Report, which again highlights some I would also like to acknowledge and express my program delivery issues that could have been sincere thank you to Mr. Rudolph Chiu, Assistant addressed sooner if our recommendations from Auditor General, Health, Energy and Justice, who previous years’ audits of this program had been will be retiring in December 2019 after dedicating implemented. There are qualitative and quantita- over 37 years of public service to our Office. He has tive benefits to be gained from speedier implemen- significantly contributed to making constructive tation of audit recommendations. recommendations to improve program and service Although we also noted in this year’s report that delivery in the public and broader public sectors some ministries, agencies and organizations within intended to inform and benefit the Legislature and the public and broader public sectors act faster to all Ontarians. implement most if not all of their recommendations, We look forward to continuing to serve the others have implemented or plan to implement only Members of Provincial Parliament, and through a few recommendations. We encourage the latter to them, the citizens of Ontario by recommending revisit outstanding recommendations and engage us program and service delivery improvements for the in further discussions on how programs and services benefit of Ontarians. can benefit from their implementation. Finally, a few comments regarding the work of Sincerely, the Standing Committee on Public Accounts of the Ontario Legislature. All of our reports are referred to this Committee once they are tabled in the Legis- lature. The Committee may issue its own reports Bonnie Lysyk, MBA, FCPA, FCA on topics related to our audits and these are also Auditor General of Ontario tabled in the Legislature. Summary again included Chapter 4, which contains our fol- Introduction low-up work on all audit recommendations issued in the five-year period from 2012 to 2016, and Com- mittee recommendations from 2015 to early 2018. At the Office of the Auditor General, we audit a wide range of services and programs delivered by ministries, agencies, government organizations, Chapter 1—Follow-Up Reports and organizations in the broader public sector. on Value-for-Money Audits in We identify areas that need improvement, and we 2017 Annual Report take great care to make practical recommendations This chapter contains 16 follow-up reports from based on our audit findings that these entities can the value-for-money audits published in our implement to improve their programs and services 2017 Annual Report.
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