Audit of the National Infrastructure Contribution Program, 2021

Internal Audit Sector

June 9, 2021

Acronyms & Abbreviations

ADDMS:
Associate District Director, Management Services
CFO:
Chief Financial Officer
CRF:
Community Residential Facilities
CSC:
Correctional Service Canada
EXCOM:
CSC's Executive Committee
IFMMS:
Integrated Financial and Material Management System
NICP:
National Infrastructure Contribution Program
NIPC:
National Investment Prioritization Committee
NHQ:
National Headquarters
RBAP:
Risk-Based Audit Plan
RHQ:
Regional Headquarters
TB:
Treasury Board
TSF:
Technical Services and Facilities

1.0 Introduction

1.1 Background

The Audit of the National Infrastructure Contribution Program was conducted as part of Correctional Service Canada's 2019-2022 RBAP. The audit links to the following CSC's corporate priorities: "Efficient and effective management practices that reflect values-based leadership in a changing environment" and "Productive relationships with diverse partners, stakeholders, victims' groups, and others involved in support of public safety". It also links to the following corporate risk that "CSC will lose support of partners delivering critical services and providing resources for offenders".

The National Infrastructure Contribution Program funds other levels of government and/or non-profit organizations to make capital improvements to support CSC's operations where CSC cannot otherwise make the needed improvements in a reasonable and cost-effective manner or through existing mechanisms. CSC is permitted to fund the program by transferring up to 4.7 million dollars from its operating allotment to its grants and contributions allotment each year. This funding structure allows CSC to maintain greater flexibility with its operating allotment.

The NICP was originally approved by TB in June 2013 until March 31, 2016. CSC sought and received approval from the TB to extend the program beginning in fiscal 2016-17 on an ongoing basis. At that time, the NICP was focused on two major projects: the construction of a roadway and a pipeline. These projects spanned multiple years, cost millions of dollars, and followed a robust investment planning methodology. This methodology involved project identification, options analysis including multiple internal assessments with CSC's Legal Services, Contracting and Material Management, Financial Services, and Technical Services and Facilities. The methodology also included an approval framework that included the National Investment Prioritization Committee (NIPC), Chief Financial Officer (CFO), and CSC's Senior Management Committee (EXCOM).

The NICP underwent a shift in the 2018-19 fiscal year. Until that point, it had consisted of the large projects identified in the TB submission and had been fully managed at the National Headquarters (NHQ) level. With those initial projects largely completed, CSC shifted to a new model for the NICP. This new model would be directed primarily at the Regional Headquarters (RHQ) level to allow for greater flexibility in addressing the smaller scale needs of CSC's partners which consists primarily of the Community Residential Facilities (CRF) which are facilities owned by non-governmental agencies.

Regional staff would canvass partners for projects and opportunities to leverage NICP funding and then submit proposals to NHQ for approval. In 2018-19, the NICP provided funding to over forty smaller scale projects at the regional level.

CSC relies on partners from other levels of government and non-profit organizations in order to carry out key portions of our mandate. These relationships must be carefully managed in order to ensure continued productive relations. The NICP is a key tool that allows for contribution payments to be made to fund specific projects of value to CSC when other payment mechanisms cannot be used in a reasonable or cost-effective manner.

CSC must also follow TB policy direction, including the TB Policy on Transfer Payments, while managing the NICP. CSC has the responsibility to ensure that cost-effective oversight, internal control, performance measurement, and reporting systems are in place to manage the payment of contribution funds to partners. These contribution payments should be used appropriately to help fulfill our mandate and provide value for Canada.

1.2 Legislative and Policy Framework

The following legislation and TB policies provide the overall framework in place for the NICP.

Legislation

The Corrections and Conditions Release Act, Section 6, Paragraph 1 provides the legislative authority for CSC to undertake the NICP. CSC must also adhere to the Financial Administration Act in prudently managing its financial resources.

Treasury Board Policies, Directives, and Approved Terms and Conditions

The TB Policy on Transfer Payments, along with the supporting Directive and Guidelines, are the primary policy tools governing contribution programs.

The Terms and Conditions for the Correctional Service of Canada's National Infrastructure Contribution Program (Terms and Conditions), as approved by the TB, provides the authority for CSC to undertake the NICP. It outlines the background, rationale, design, delivery, implementation, expected outcomes, risks, risk responses, cost, funding requirements, source of funds, and costing due diligence and validation of the NICP.

CSC Policy Instruments

No CSC directives or procedures currently exist specifically for the management of the NICP.

CSC has financial directives in place that assign authorities and procedures based on broader government policy and direct staff on how to apply these policies. The relevant financial directives for the NICP include:

1.3 CSC Organization

National Headquarters (NHQ)

The NICP falls under the purview of the Assistant Commissioner, Corporate Services Sector. The Technical Services and Facilities branch is the overall policy centre for the program and plays a central role in the management and oversight of the NICP. TSF created a working group for the NICP with representatives from each region to discuss policy issues and provide guidance and support for the administration of the program.

Regional Headquarters (RHQ)

Each region is responsible for managing the program and specific projects in their areas; this includes soliciting applications for NICP funding, recommending projects for approval, and managing approved projects. Regional responsibility is generally delegated to the District Directors with support from the Chief of Finance. Representatives from each region typically District Director, Associate District Director, Management Services (ADDMS), and Chief of Finance participate in the TSF working group. Regional representatives are responsible for managing the particular projects in their own regions.

Review and Approval Process

NICP projects are subject to the following review and approval process:

1.4 Risk Assessment

The Audit of the National Infrastructure Contribution Program was identified as a moderate audit priority and an area of risk to CSC in the 2019-2022 Risk-Based Audit Plan. The audit team completed an engagement-level risk assessment using the results of interviews and policy research to determine what areas of the NICP the audit should cover. Overall, the assessment identified key risks associated with the management framework in place to support the NICP as well as with compliance with TB policies and the TB approval for the NICP. These risks were incorporated into this audit to assess whether sufficient mitigation strategies were in place.

2.0 Objectives and Scope

2.1 Audit Objectives

The objectives of this audit were to provide assurance that:

Specific criteria are included in Annex A.

2.2 Audit Scope

The audit was national in scope. In order to evaluate the management framework in place, we interviewed staff from NHQ and regions (selected on the basis of number and value of NICP projects). These interviews focused on:

We also examined whether approved projects conformed to the terms and conditions approved by the TB. This included reviewing:

We reviewed a sample of 13 NICP projects, 10 from the 2018-19 and 3 from the 2019-20 fiscal years. There were 49 regionally led projects approved in 2018-19, 37 at the time of the audit in 2019-20, and one active NHQ led project. The sample was selected to ensure that at least one project from each region was selected, a reasonable number of larger projects were selected (threshold of $100,000 budget), and that a sufficient number of projects judged to potentially be at a higher level of risk were included. Appendix C provides a list of the projects selected for review and the reasons that each project was selected. We conducted this work through document reviews as site visits were determined to be unnecessary.

4.0 Overall Conclusion

The NICP is an important tool for CSC despite the relatively modest funding allocated towards it. Our audit findings indicate that it generally accomplishes its purpose of providing a method for the organization to fund projects with partners (other levels of government and non-profit organizations) where other mechanisms would not be efficient or effective. This capability assists CSC in achieving its priority of building productive relationships with partners.

The shift in the NICP model to multiple, low-cost projects managed regionally has created several areas of concern and/or weakness. With respect to the first objective, the management framework for the NICP should be reviewed, including:

With respect to the second objective we found that all recipients of NICP funds were eligible as per the terms and conditions approved by Treasury Board. The processes in place for making payment to recipients and recording financial information were generally functioning well.

Management should review the following areas of weakness for the second objective:

6.0 About the Audit

6.1 Approach and Methodology

Audit evidence was gathered through the following techniques:

Interviews: Interviews were conducted with senior staff responsible for managing the NICP in NHQ and in the regions. At the NHQ level, we interviewed the Senior Manager, Management Services and the Project Coordinator, Investment Planning at TSF. At the regional level, we interviewed staff responsible for managing the program (normally at the District or Area Director level) and a Regional Chief of Finance.

Review of Documentation: Relevant documentation, such as legislation, process maps, accounting manuals, financial directives, commissioner's directives and guidelines, financial records and reports as well as supporting documentation for key controls was reviewed.

Sampling Strategy: We selected a sample of NICP projects to review such that we:

Analytical Review: Detailed analytical reviews and testing was performed for each sample selected. This included reviewing documentation of the investment approval process, eligibility of the project and expenditures, management of the project, payments to recipients, and recording of the financial information.

6.2 Past Audits and External Assurance Work

No CSC internal audit or external assurance work has been completed in the last five years that focused on the NICP.

6.3 Statement of Conformance

In my professional judgment as Chief Audit Executive, sufficient and appropriate audit procedures have been conducted and evidence gathered to support the accuracy of the opinion provided and contained in this report. The opinion is based on a comparison of the conditions, as they existed at the time, against pre-established audit criteria that were agreed on with management. The opinion is applicable only to the area examined.

The audit conforms to the Internal Auditing Standards for Government of Canada, as supported by the results of the quality assurance and improvement program. The evidence gathered was sufficient to provide senior management with proof of the opinion derived from the internal audit.

Christian D'Auray, CPA, CA

Chief Audit Executive

Annex A: Audit Criteria

The following table outlines the audit criteria developed to meet the stated audit objective and audit scope:

Objective Audit Criteria Met/
Met with Exceptions/
Partially Met/
Not Met
1. To provide reasonable assurance that a management framework is in place and supports the effective and efficient management of the National Infrastructure Contribution Program. 1.1: Appropriate policies, directives, guidelines and manuals exist and are clear to support the management of the NICP and comply with applicable legislation. Not Met
1.2: Roles and responsibilities are clearly defined, documented and understood. Not Met
1.3.1: Monitoring and reporting processes are in place and there is general oversight of the NICP. Partially Met
1.3.2: Issues are identified, reported and corrective measures are taken when required. Unable to Evaluate
2. Provide assurance that CSC is compliant with Treasury Board's approval of the NICP and the Policy on Transfer Payments. 2.1: Projects, recipients, and expenditures meet the eligibility requirements as per the Terms and Conditions. Partially Met
2.2: CSC follows the required investment planning process as outlined in the Terms and Conditions. Partially Met
2.3: Payments to recipients are only made when work is complete and supported by appropriate documentation. Met with Exceptions
2.4: Financial information is accurately reported through IFMMS and other methods. Met

Annex B: Sample Projects Reviewed

List of Sample Projects: FY18-19
Region Project Project Code Reason for Selection as part of the Audit Purpose of Project Budgeted
NHQ Maple Creek Road Maintenance 100-94401 Only agreement in this region, amount of funding> $100K Road Maintenance fees $712,464
Atlantic Greenfield House 200-99100 Only agreement in this region Renovate the entrance to make it accessible $60,000
Quebec Centre résidentiel communautaire Roberval 300-99131 Amount of funding> $100K, project appears to be complete based on budget vs. actuals Renovate washrooms and fix plumbing $159,000
Quebec Point de Rencontre Inc. 300-99147 Project appears to be complete based on budget vs. actuals, purpose of project Install a gazebo in the garden $11,000
Quebec CRC Maison Joins-Toi Granby 300-99122 Purpose of project Interior and exterior renovations and changing windows (change windows, renovate a bathroom, repair a water leak in the ceiling, and repairs to old and worn floors) $88,000
Quebec Société Emmanuel-Grégoire 300-99139 Purpose of project Interior and exterior renovations (repairs to the outside terrace, replacement of windows, kitchen renovations) and installing a security system $86,150
Quebec Maisons de transition de Montréal Inc. 300-99145 Purpose of project Install kitchen cabinets replace damaged bathtubs $46,000
Prairies Eagle Women's Lodge: Indigenous Women's Healing Center Inc. 500-99154 Only agreement in this region, amount of funding> $100K, project appears to be complete based on budget vs. actuals Interior renovations and installing a security system (Camera system/pass cards, Security/Dutch Door, Building Intercom System, Replacement of hot water tank) $115,000
Pacific John Howard Society: Manchester 800-99103 Project appears to be complete based on budget vs. actuals Renovation of the fire safety system $23,000
Pacific John Howard Society: Tims Manor 800-99106 Purpose of project Interior renovations (converting 8 existing beds [4 two-bedroom units on the top floor] to CBRF beds and adding 2 beds on the ground floor; upgrading of flooring, painting, security access system and the staff office will also be completed) $90,000
List of Sample Projects: FY19-20
Region Project Project Code Reason for Selection Purpose of Project Budgeted
Quebec Déclic Action 300-99175 Amount of funding> $100K, purpose of project Refitting of space allocated for therapy programming interventions $150,000
Ontario St. Leonard's Community Services: London 400-99161 Amount of funding> $100K, purpose of project Roof Replacement $109,000
Pacific John Howard Society: Hobden 800-99156 Purpose of project Hobden House building and equipment sustainment $76,500

Annex C: NICP Projects in 2018-19 and 2019-20

Region 2018-19 Approved Projects 2018-19 Total Value of Agreements 2019-20 Projects Pending Approval1 2019-20 Total Proposed Value of Pending Projects
Atlantic 1 $60,000 0 $0
Quebec 38 $2,275,000 23 $1,110,264
Ontario 0 $0 10 $357,714
Prairies 1 $115,000 0 $0
Pacific 9 $1,520,000 4 $216,500
Note 1: At the time of the Audit, 2019-20 projects were still pending approval. The information presented here is based on what we had access to at the time; there may have been subsequent changes.

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