The California SR 10 form is a crucial document used by Group Homes and Foster Family Agencies to certify audited cost data. It must be completed by a Certified Public Accountant (CPA) as part of the required financial audit, ensuring that all cost data reports are accurately represented in relation to the overall financial statements. Timely submission of this form is essential for compliance with state regulations, so please fill it out by clicking the button below.
The California SR 10 form plays a crucial role in the financial auditing process for Group Homes and Foster Family Agencies. This document must be completed by a Certified Public Accountant (CPA) and submitted as part of the financial audit requirements. It serves as a certification of audited cost data, ensuring that the information provided is accurate and fairly represents the financial statements as a whole. The form includes essential details such as the corporate name of the agency, program numbers, fiscal year, and contact information. Additionally, it requires the CPA to attest that supplementary cost data reports have been audited and are presented for further analysis, even though they are not mandatory components of the basic financial statements. The California Department of Social Services mandates this form to maintain transparency and compliance, and it must be sent to the Program and Financial Audits Bureau in Sacramento. By signing the SR 10, the CPA certifies the truthfulness of the information, aligning with the regulations set forth in the False Claims Act. Understanding this form is vital for agencies to navigate the complexities of financial audits and ensure adherence to state requirements.
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
CERTIFICATION OF
AUDITED COST DATA
The Group Home or Foster Family Agency corporation should have their Certified Public Accountant (CPA) complete and submit this form as part of the required financial audit if the CPA has not otherwise provided written documentation which clearly shows that the required cost data reports were audited and that the information was fairly stated in all material respects in relation to the basic financial statements taken as a whole.
Please have the completed and signed form sent to:
California Department of Social Services
Program and Financial Audits Bureau
ATTENTION: Financial Audits Unit Manager
744 P Street, MS 9-23
Sacramento, California 95814.
GROUP HOME OR FOSTER FAMILY AGENCY CORPORATE NAME
PROGRAM NUMBERS(S)
STREET ADDRESS
PROGRAM FISCAL YEAR (MO/YR-MO/YR)
CITY, STATE, AND ZIP CODE
PROVIDER PHONE NUMBER
The attached supplementary cost data reports are presented for the purposes of additional analysis and are not a required part of the basic financial statements but are required as supplementary information by the California Department of Social Services in accordance with Manual of Policies and Procedures Section 11-405.214. Such information has been subjected to the auditing procedures applied in the audit of the basic financial statements, and in our opinion, is fairly stated in all material respects in relation to the basic fianancial statements taken as a whole.
Check only the forms which apply:
SR 3___ SR 4___ FCR 12FFA___
In compliance with the False Claims Act (31 U.S.C. §3729-3733), I certify that the information on this form is true and correct.
PRINTED NAME OF CPA
SIGNATURE OF CPA
DATE
ADDRESS
CITY, STATE AND ZIP CODE
SR 10 (2/06)
Once you have gathered all necessary information, you can begin filling out the California SR 10 form. This form needs to be completed by a Certified Public Accountant (CPA) as part of the financial audit process for Group Homes or Foster Family Agencies. Make sure to double-check all entries before submission to ensure accuracy.
After completing the form, ensure that it is signed by the CPA. Once everything is in order, submit the form to the California Department of Social Services at the specified address. Keeping a copy for your records is also a good practice.
What is the purpose of the California SR 10 form?
The California SR 10 form is designed to certify the accuracy of audited cost data for Group Homes or Foster Family Agencies. It must be completed by a Certified Public Accountant (CPA) as part of the financial audit process. This certification ensures that the cost data reports have been audited and that the information is fairly presented in relation to the overall financial statements.
Who is responsible for submitting the SR 10 form?
The responsibility for submitting the SR 10 form lies with the Group Home or Foster Family Agency. The CPA who conducts the audit must complete and sign the form. It is essential that the completed form is sent to the California Department of Social Services to meet compliance requirements.
Where should the completed SR 10 form be sent?
Once completed and signed, the SR 10 form should be mailed to the California Department of Social Services, specifically to the Program and Financial Audits Bureau. The address is: 744 P Street, MS 9-23, Sacramento, California 95814. Ensuring it reaches the correct department is crucial for compliance.
What additional information is required along with the SR 10 form?
Along with the SR 10 form, supplementary cost data reports must be attached. While these reports are not part of the basic financial statements, they are required as supplementary information by the California Department of Social Services. The CPA must ensure that this information has been subjected to the same auditing procedures as the basic financial statements.
What are the consequences of providing false information on the SR 10 form?
Providing false information on the SR 10 form can lead to serious consequences under the False Claims Act. This federal law imposes penalties for knowingly submitting false claims for payment or approval. Therefore, it is vital for the CPA to certify that all information is true and correct to avoid legal repercussions.
What should be included in the SR 10 form?
The SR 10 form requires specific details such as the corporate name of the Group Home or Foster Family Agency, program numbers, address, fiscal year, and contact information. Additionally, the CPA must check applicable forms and provide their printed name, signature, and date. This information ensures clarity and accountability in the certification process.
Filling out the California SR 10 form can be a straightforward process, but several common mistakes can lead to delays or issues with compliance. Understanding these pitfalls can help ensure that the form is completed accurately.
One frequent mistake is failing to include the correct corporate name of the Group Home or Foster Family Agency. This information must match the official records. If there’s a discrepancy, it may cause confusion during the audit process.
Another common error is neglecting to provide the program numbers. These numbers are essential for identifying the specific programs being audited. Omitting them can lead to complications in processing the audit results.
Inaccurate or incomplete address information is also a prevalent issue. The street address, city, state, and zip code must be filled out correctly. Missing or incorrect details can delay communication and the overall audit process.
People often overlook the importance of specifying the program fiscal year. This information is crucial for understanding the time frame of the financial data being audited. Without it, the form may not meet the necessary requirements.
Another mistake involves the signature of the CPA. The form must be signed by a Certified Public Accountant. If the signature is missing or not from a qualified individual, the submission could be rejected.
Additionally, some individuals fail to check the appropriate forms that apply, such as SR 3, SR 4, or FCR 12FFA. This oversight can lead to the submission of incomplete documentation, which may hinder the audit process.
Finally, it is critical to ensure that the information provided is true and correct. Misrepresentation can have serious consequences under the False Claims Act. Double-checking the information before submission can prevent legal issues and ensure compliance.
By being aware of these common mistakes, individuals can navigate the SR 10 form process more effectively and contribute to a smoother audit experience.
When dealing with the California SR 10 form, there are several other important documents that often accompany it. Each of these forms plays a vital role in ensuring compliance and transparency in financial reporting for group homes and foster family agencies. Understanding these documents can help streamline the process and ensure that all necessary information is submitted accurately.
Having a solid grasp of these documents will not only facilitate compliance but also promote financial integrity within your organization. Each form serves a unique purpose, contributing to the overall accountability and effectiveness of group homes and foster family agencies in California.
The California SR 10 form is a crucial document used in the auditing process for Group Homes or Foster Family Agencies. It certifies that the audited cost data is accurate and complies with state regulations. There are several other documents that serve similar purposes in various contexts. Here’s a look at six of them:
Each of these documents plays a vital role in maintaining financial integrity and compliance within the foster care and group home systems in California. They ensure that all financial data is thoroughly audited and accurately reported, which is essential for transparency and accountability.
When filling out the California SR 10 form, it’s important to follow certain guidelines to ensure accuracy and compliance. Here’s a list of things you should and shouldn’t do:
By following these guidelines, you can help ensure that your submission is processed smoothly and efficiently.
Misconceptions about the California SR 10 form can lead to confusion regarding its purpose and requirements. Below are six common misconceptions explained.
Filling out the California SR 10 form is an important step for Group Homes and Foster Family Agencies. Here are some key takeaways to keep in mind:
Understanding these points can help ensure that you complete the SR 10 form accurately and submit it on time. This process is crucial for maintaining compliance and supporting your agency's operations.