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 <subject>Food relief programs</subject>
 <subject>Child care programs</subject>
 <subject>Internal controls</subject>
 <subject>Federal/state relations</subject>
 <subject>State-administered programs</subject>
 <subject>Program abuses</subject>
 <subject>Fraud</subject>
 <identifier>USDA Child and Adult Care Food Program</identifier>
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 <title>Food Assistance: Efforts to Control Fraud and Abuse in the</title>
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<abstract>GAO reviewed the Food and Nutrition Service&apos;s (FNS) efforts to control
the fraud and abuses occurring in its state administered Child and Adult
Care Food Program, focusing on: (1) the extent to which the states have
implemented required and recommended controls to prevent and detect
fraud and abuse; and (2) FNS&apos; effectiveness in directing the states&apos;
efforts to implement these controls.&lt;p/&gt;GAO noted that: (1) almost all of the state agencies reported they had
implemented, at least in part, FNS&apos; minimum required controls for
detecting fraud and abuse in the Child and Adult Care Food Program; (2)
these agencies, however, reported variation in implementing the
additional controls recommended by the Inspector General and task force;
(3) state agencies cited factors that made it difficult to strengthen
controls over fraud and abuse, including: (a) a lack of resources
(staff, funding, or computer technology); (b) a lack of training in and
knowledge of how to identify fraud and abuse; and (c) unclear
regulations by FNS on removing noncompliant sponsors from the program;
(4) according to FNS and state officials, state agencies may be
reluctant to adopt additional fraud and abuse controls because they view
themselves as providers of program benefits, not policing organizations;
(5) FNS has not effectively directed the states&apos; efforts to protect
against fraud and abuse in this program; (6) it has yet to strengthen
the minimum requirements for the states&apos; controls over fraud and abuse,
despite recommendations from the Inspector General and federal-state
task force dating back to 1995; (7) this has contributed to many states
not implementing the types of controls necessary to reduce the program&apos;s
vulnerability to illegal or inappropriate uses of federal funds; (8) FNS
has not adequately monitored the states&apos; implementation of controls over
fraud and abuse and has little basis for identifying and correcting
problems that the states may be experiencing; (9) FNS has had difficulty
correcting problems involving the states&apos; compliance with required
controls, partially because it lacks an appropriate range of sanctions;
(10) agency officials told GAO that these oversight weaknesses largely
resulted from insufficient resources, noting that in the past few years,
the agency needed to concentrate many of its resources on implementing
changes required by welfare reform; (11) beginning in fiscal year 1999,
Congress authorized an additional $1 million annually for 5 years to
strengthen the agency&apos;s efforts in preventing and detecting fraud and
abuse in the food program; and (12) FNS has initiated but not completed
actions to address these problems.</abstract>
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<note>Letter Report</note>
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<subject>
 <topic>Food relief programs</topic>
 <topic>Child care programs</topic>
 <topic>Internal controls</topic>
 <topic>Federal/state relations</topic>
 <topic>State-administered programs</topic>
 <topic>Program abuses</topic>
 <topic>Fraud</topic>
 <topic>USDA Child and Adult Care Food Program</topic>
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  <title>United States Public Law 255 (97th Congress)</title>
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