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宾夕法尼亚州老龄化部门的监管存在薄弱环节,审计发现这可能使老年人面临风险

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安吉拉·库卢姆比斯/Spotlight PA 根据该州最高财政监督机构周三发布的一份措辞严厉的审计报告,宾夕法尼亚州老龄化局对负责防止虐待老年人事务的地方机构的监管存在诸多薄弱环节和缺陷,这可能使脆弱的老年人面临更大的受伤害风险。

The Pennsylvania Department of Aging’s oversight of local agencies charged with preventing elder abuse is riddled with weaknesses and deficiencies that could leave vulnerable older adults at further risk of harm, according to a stinging audit released Wednesday by the state’s top fiscal watchdog.

审计长蒂姆·德福尔办公室发布的这份长达80页的审计报告还得出结论,该局用于监测虐待和忽视调查质量的新系统不再关注关键领域——例如老年人是否被置于受伤害风险之中——从而对全州个案工作者的关键工作表现描绘出一幅更为乐观的图景。

The 80-page audit by Auditor General Tim DeFoor’s office also concluded that the department’s new system for monitoring the quality of abuse and neglect investigations no longer looks at key areas — such as whether an older adult was left at risk of harm — creating a rosier picture of how well caseworkers across the state are performing their critical work.

总体而言,审计人员发现老龄化局在监督和监测52个县级地区老龄机构方面存在10项缺陷。这些机构为老年人提供基本服务,尤其是在对涉及60岁及以上人群的虐待、忽视、自我忽视和财务剥削指控进行调查方面的表现。

In all, auditors found 10 deficiencies in the way the aging department oversees and monitors the 52 county-based Area Agencies on Aging that provide essential services to older adults — and specifically, how well they conduct investigations into allegations of abuse, neglect, self-neglect, and financial exploitation involving people aged 60 or older.

在宣布审计结果时,德福尔多次指出,该局将审计推迟了约六个月,主要原因是其在移交数据和提供关键员工配合方面拖延。他没有对他所称的“异常漫长”的延误推断动机。

In announcing the results, DeFoor noted multiple times that the department delayed the audit by roughly six months, largely because it slow-walked turning over data and providing access to key employees. He stopped short of assigning motives for what he called the “unusually long” delays.

但附在审计报告中的老龄化局回应显示,该局采取了对抗性立场,对大多数审计发现提出异议,并指责审计人员不专业——这在曾接受过审计的政府机构中实属罕见。

But the aging department’s response, attached to the audit, reveals it took a combative stance, disputing most of the findings and accusing auditors of being unprofessional — rare behavior among government agencies that have been the subject of past audits.

在一份周三发布的声明中,该部门发言人再次强调,称德富尔的办公室在搞“卑劣”的政治把戏,并称在大选前六周公布审计报告是“妄图帮助其政治盟友的孤注一掷之举”。共和党人德富尔今年并未列入选票;他领导的办公室是一个独立的州级机构。主管老龄事务部的民主党人、州长乔什·夏皮罗正在竞选连任。民调显示,他的领先优势达到两位数,领先于共和党的竞争对手。

In a statement released Wednesday, the department’s spokesperson doubled down, asserting that DeFoor’s office was playing “craven” politics, and calling the decision to release the audit six weeks before the November election “a desperate attempt to help his political allies.” DeFoor, a Republican, is not on the ballot this year; the office he runs is an independent state agency. Gov. Josh Shapiro, a Democrat whose office oversees the aging department, is running for reelection, with polls showing him with a double-digit lead over his GOP challenger.

德富尔周三表示,此类“人身攻击”不会改变其办公室的审计结论,并补充说,审计人员就如何修补该体系的漏洞提出了三十多条建议。

DeFoor said Wednesday that such “personal attacks” do not change his office’s findings, and added that auditors made more than three dozen recommendations for fixing weaknesses in the system.

“老龄事务部究竟要到什么时候才会照镜子说,‘我们可能出了问题’?”德富尔说,随后又补充道:“如果这还不能推动局面发生变化,我不知道还有什么能奏效。”审计长的发现与《聚光灯宾州》在其长达两年的宾夕法尼亚州老年人保护服务系统调查中所记录的许多问题如出一辙。

“At what point does the Department of Aging look in the mirror and say, ‘We may have a problem,’” DeFoor said, adding later: “If this doesn’t move the needle, I don’t know what else will.” The auditor general’s findings echo many of the failures Spotlight PA has documented over its two-year-long investigation into Pennsylvania’s older adult protective services system.

这项名为“Unprotected”的调查发现,该部门对各县老龄事务机构的监管存在严重且持续存在的失误,有时甚至导致灾难性或惨不忍睹的后果。州长乔什·夏皮罗于2023年任命杰森·卡夫利奇担任老龄事务部长。

The investigation, called Unprotected found significant and persistent failures in the department’s oversight of county aging agencies, sometimes leading to devastating or catastrophic outcomes. The Department of Aging is led by Secretary Jason Kavulich, who was appointed by Gov. Josh Shapiro in 2023.

调查还披露,老年人死亡人数不断增加,而他们遭受虐待和忽视的案件仍在调查之中;一些县错误驳回了本应展开调查的虐待指控;此外,该部门的新监测系统——“综合老龄绩效评估”(CAPE)——可能让各县更容易被认定为符合州政府关于开展高质量调查的规定。

Among other things, the newsroom revealed that older adults are dying in increasing numbers while their abuse and neglect cases are being actively investigated; that counties wrongly dismissed abuse allegations they should have investigated; and that the department’s new monitoring system, known as the Comprehensive Aging Performance Evaluation (or CAPE), could make it easier for counties to be found compliant with state rules on conducting quality investigations.

德富尔的审计人员深入调查了其中许多相同领域,并发现了类似的缺陷。

DeFoor’s auditors delved into many of those same areas and found similar deficiencies.

审计深入审查了两个主要问题:CAPE能否准确评估虐待和忽视调查的质量;以及县级一线个案工作者及其他人员为开展关键工作所接受的培训。调查发现如下:— 在新的CAPE系统下,该部门每隔18个月才对县级老龄事务机构进行一次监测——这与要求每年评估一次的州法律相矛盾。审计人员发现,自CAPE于2025年初实施以来,52家县级老龄事务机构中只有约一半接受了监测,导致该部门的监测进度严重滞后。

The audit drilled down on two main issues: the ability of the CAPE to accurately assess the quality of abuse and neglect investigations; and the training that front-line caseworkers and others at the county level receive in order to carry out their critical work.

与其取代的旧系统不同,CAPE在监测县级老龄事务机构时不再采用加权评分体系——这一变化可能导致某县因开展高质量虐待和忽视调查而获得的分数被虚高。

Among the findings:

— 过去监测各县时,该部门会给更严重的问题赋予更高权重(例如,因调查草率或不充分而使老年人处于危险之中的情况)。相比之下,CAPE对所有缺陷一视同仁地赋予相同权重,因此,文书问题等较轻的缺陷与较严重的问题得分相同。

— Under the new CAPE system, the department only monitors county aging agencies once every 18 months — contradicting state law that requires annual assessments. In fact, auditors found that, since the CAPE’s implementation at the start of 2025, only about half of the 52 county aging agencies had been monitored, leaving the department well behind schedule.

审计人员还发现,在CAPE系统下,该部门在监测和评分县级机构的表现时,甚至不再评估老年人是否处于危险之中。

The CAPE, unlike the system it replaced, no longer uses a weighted scoring system when monitoring county aging agencies — a change that could inflate a county’s score for conducting quality abuse and neglect investigations.

— 该部门错误地声称,州法规并不要求在收到涉及老年人的投诉后20天内完成虐待和忽视调查。审计人员表示,州法规明确规定,20天是必须遵守的期限,而不是卡瓦利奇领导下的该部门一直主张的“目标”。

— When monitoring the counties in the past, the department assigned heavier weights to more serious problems (such as when older adults were left at risk because of shoddy or incomplete investigations). The CAPE, in contrast, weighs all deficiencies the same, so less serious issues such as clerical problems are equally scored as more serious ones.

该部门现在还允许各县为未在20天期限内完成调查说明理由,并将此类调查评为合规,导致各县的“合规分数可能被虚高”。

Auditors also found the department, under the CAPE, no longer even assesses whether older adults were left at risk when monitoring and scoring county performance.

关键问题:

— The department is erroneously asserting that state regulations don’t require that abuse and neglect investigations be completed within 20 days of receiving a complaint involving an older adult. State regulations, the auditors said, make clear that the 20-day timeline is a requirement, rather than a “goal,” as the department under Kavulich has maintained.

  1. 当老年人在遭受虐待或忽视的调查仍在进行中时去世时,该部门并未遵循任何正式的审查程序。

The department also now gives counties the ability to provide a reason for not meeting the 20-day requirement and scores those investigations as compliant, resulting in “potentially inflated compliance scores” for counties.

  1. 根据《Spotlight PA》的报道,在Kavulich上任之前,该部门曾设立了一套死亡原因审查机制,用于追踪所有在虐待或忽视调查期间去世的老年人的死因;但在Kavulich的领导下,该部门废除了这一机制,转而将审查工作(尽管是非强制性的)交由各县机构负责。

— The department does not follow an official review process when an older adult dies while their abuse and neglect investigation is still under active investigation.

  1. DeFoor的审计人员建议立法机构修订州法律,要求各县必须对所有涉及老年人的可疑死亡事件进行调查。

Spotlight PA reported that the department, before Kavulich, had launched a fatality review process to track the cause of death for every older adult who died during an active abuse or neglect investigation. The department, under Kavulich, put in motion a new policy that halted that process, and instead left reviews — albeit non-mandatory ones — up to the county agencies.

  1. 该部门未为调查财务剥削的指控设定明确的时间框架,而这一问题在老年人群体中日益严重。

DeFoor’s auditors recommended that the legislature update state law to require counties to review all suspicious deaths involving older adults.

  1. 该部门未能确保负责调查老年人虐待和忽视问题的县级工作人员(如社工等)接受足够的培训,以确保他们能够胜任工作。

— The department does not set a timeframe for investigating allegations of financial exploitation, even though it is a rising problem among the older adult community.

部门的回应:老年事务部门对审计报告中的大部分结论提出了异议。该部门表示,由于审计是在去年年初该部门开始使用新的监测系统(CAPE)后不久进行的,因此该审计报告未能全面反映各县在改进工作方式方面的实际情况。

— The department has failed to ensure that caseworkers and other staff at the county level involved in investigating older adult abuse and neglect receive adequate training to do their jobs.

该部门还指责审计人员未能遵守“专业审计”应遵循的客观性、基于事实且无偏见的结论标准,并称审计报告在理解、适用及表述相关法规、政策时存在错误。

The Department of Aging disputed the majority of the office’s findings. Because the audit was launched soon after the switch to the CAPE monitoring system early last year, it does not capture “the full picture” of improvements to how counties are assessed, the department said.

DeFoor的办公室将部门的回应称为“不专业且毫无根据的”,并认为这是试图回避审计报告中的关键发现。

It even went as far as to accuse auditors of not adhering to standards of objectivity and fact-based and unbiased conclusions that govern “professional audits.” “The audit report is inaccurate in its understanding, application and representation of the regulations, policies and laws the Department must follow in its mission to protect older adults,” the aging agency wrote in its response. DeFoor’s office called the reaction “unprofessional and unwarranted,” and an attempt to deflect from the audit’s critical findings.

卡武利奇此前曾告诉 Spotlight PA,各县保护老年人安全的做法仍有改进空间,但该体系并不存在“危机”。

Kavulich previously told Spotlight PA that while there is room for improvement in how counties keep older adults safe, there is no “crisis” in the system.

该新闻机构向沙皮罗的办公室询问,州长是否赞同卡武利奇对德福尔办公室的批评和指控。沙皮罗的发言人罗西·拉波斯基拒绝回答,转而向德福尔提问:“您是否认为他行事专业,并遵守了公认的审计规范?”她没有作进一步说明,也没有回答后续追问。

The news organization asked Shapiro’s office whether the governor endorsed Kavulich’s criticisms and accusations against DeFoor’s office. Shapiro spokesperson Rosie Lapowsky declined to answer the question, asking instead of DeFoor: “Are you assuming he was professional and adhered to accepted auditing practices?” She did not elaborate, and did not respond to follow-up questions.

据 Spotlight PA 报道,沙皮罗辖区内的州监督机构——州监察长办公室——对州老龄事务厅的老年人保护服务监管工作进行了调查,并于2024年出具了一份报告,但沙比罗办公室一方面拒绝承认该报告的存在,另一方面又声称此类报告属于机密。不过,此前任内的州长曾向公众公布监察长部分调查的调查结果。

Spotlight PA has reported that a state watchdog under Shapiro’s jurisdiction — the Office of State Inspector General — investigated the Department of Aging’s protective services oversight and produced a report in 2024, but that Shapiro’s office has refused to acknowledge its existence while also claiming that such reports are confidential. However, previous governors have released to the public findings from some of the inspector general’s probes.

州参议员韦恩·兰格霍克小(共和党,坎布里亚县)负责主持州参议院的老龄问题委员会。他在周三的一份声明中表示,这次审计应该会对“所有宾夕法尼亚州人产生寒蝉效应”,并敦促州老龄事务厅“立即采取行动……确保全州老年人的安全”。本文最初由 Spotlight PA 发布,并通过与美联社的合作向外分发。

In a statement Wednesday, state Sen. Wayne Langerholc Jr. (R., Cambria), who chairs the chamber’s committee dealing with aging issues, said the audit should have “a chilling effect on all Pennsylvanians,” and urged the department to take “immediate action … for the safety of older adults across the commonwealth.” This story was originally published by Spotlight PA and distributed through a partnership with The Associated Press.