Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Head Start Cluster
Assistance Listing Number: 93.600
Pass‐through Agency: N/A
Contract numbers: 10CH01029405C3
10CH01029406
10CH01204401
10HE00135801C5
10HE00135801C6
Contract periods: 01/2020‐06/2021
01/2021‐06/2021
07/2021‐12/2021
07/2021‐06/2023
07/2021‐06/2023 Criteria: As stated in the U.S. Department of Health and Human Services (HHS) Grants Policy
Statement, grant recipients are required to meet the standards and requirements for financial
management systems set forth or referenced in 45 CFR 74.21 or 92.20, as applicable. Further,
financial systems must enable grant recipients to do the following:
• Provide accurate, current, and complete financial information about Federal awards.
• Maintain records that adequately identify the sources of funds for federally assisted
activities and the purposes for which the award was used.
• Maintain effective control over and accountability for all cash, real and personal
property, and other assets under the award.
• Compare actual expenditures or outlays with the approved budget for the award.
• Determine the allowability of costs in accordance with the applicable federal cost
principles, program regulations, and other regulations cited in the Notice of Award.
• Minimize the time elapsing between any advance payment under the award(s) and disbursement of
the funds for direct program costs and the proportionate share of any allowable
indirect or facilities and administrative costs.
Condition: The Association’s controls were not effective to ensure the financial systems migration
from Intuit QuickBooks Enterprise to MIP Fund Accounting satisfied the requirements for financial
reporting as stipulated by federal regulations and HHS. The initial financial reports provided by
the Association did not provide accurate or complete information about the federal awards
under its management. Further, initial bank reconciliation reports did not provide proof of
effective control over and accountability for cash assets held under the award.
This internal control deficiency is considered to be a material weakness.
Context: Procedures included examining bank reconciliation reports, general ledger detail reports,
and budget vs. actual reports by program and tracing to supporting documentation for a
sample of transactions in each operations cycle (cash receipts, cash disbursements, payroll
disbursements, journal entries).
Cause: The Association changed the software used for maintaining its financial systems from Intuit
QuickBooks Enterprise to MIP Fund Accounting in July 2020, beginning with their payroll processing.
Full implementation of all other operating cycles occurred effective in January 2021. The
system migration did not include adequate vendor support for building a chart of
accounts or custom reporting tools to allow for a level of reporting required to produce
timely and accurate financial statements for federal reporting needs. Further, the beginning
subledgers for accounts receivable and accounts payable, and beginning outstanding reconciling
items for cash accounts, were not properly built into the MIP Fund Accounting system
during the early implementation
process, resulting in the Association having difficulties reconciling their cash accounts.
Effect: By not successfully implementing a financial system as required under federal
and HHS agency regulations, the Association cannot demonstrate compliance with grantor’s
requirements that require accurate, current, and complete financial information regarding the
federal awards under its management.
Recommendation: The Association continue to work internally and with the software vendor
and outside consultants as needed to implement a chart of accounts and custom
reporting tools that will assist them in complying with federal regulations regarding its
financial system.
View of Responsible Officials: There is no disagreement with this audit finding.
Criteria: As stated in the U.S. Department of Health and Human Services (HHS) Grants Policy
Statement, grant recipients are required to implement financial systems that enable grant
recipients to maintain effective control over and accountability for all cash under the award.
Condition: The Association’s controls were not effective to ensure it performed the bank
reconciliation process on an accurate or timely basis.
We consider this internal control deficiency to be a significant deficiency.
Context: Our procedures included examining bank reconciliation reports for the December
2021 period. We reviewed the bank reconciliations for unusual transactions, large
reconciling items, and traced a sample of transactions to supporting documentation such as
copies of cleared checks, bank statements, or other items.
Cause: The Association changed the software used for processing its bank reconciliations from
Intuit QuickBooks Enterprise to MIP Fund Accounting in January 2021. The system migration
did not include entering detailed outstanding reconciling items for cash accounts as of
December 31, 2020, resulting in the Association having difficulties reconciling their
cash accounts on a timely basis. The initial reconciliations included large journal
entries to cash accounts that did not have sufficient documentation as support and
resulted in the bank reconciliations being redone to properly account for outstanding
uncleared items that carried over from the prior fiscal year.
Effect: By not reconciling the bank accounts on a timely basis, the financial reports initially
provided for the audit were not accurate. This resulted in the delay of the audit until
the bank reconciliations could be properly completed to account for outstanding uncleared
items that carried over from the prior fiscal year.
Recommendation: We recommend the Association follow its own documented controls to ensure it
prepares bank reconciliations on a timely and accurate basis.
View of Responsible Officials: There is no disagreement with this audit finding.
Criteria: Accounting principles generally accepted in the United States of America
require that amounts be recognized as revenues, with corresponding receivables if
applicable, when the product or service has been delivered to a customer and when the dollar
amount is readily determinable.
Condition: The Association’s controls were not effective to ensure it was recognizing
revenues and related receivables for reimbursement‐based programming in the same period the
expenditure occurred.
We consider this internal control deficiency to be a significant deficiency.
Context: Our procedures included examining subsequent cash receipts and vouching to
expenditures made during the fiscal year, identifying several such receipts that should
have been posted as receivables as of December 31, 2021 but were not.
Cause: The Association typically records cash receipts on a cash basis instead of accrual basis as
stipulated in U.S. GAAP.
Effect: By not recording receivables in the correct period, revenues from reimbursement‐based
awards could be materially misstated.
Recommendation: We recommend the Association establish controls that allow for the
timely and accurate recording of grants and contracts receivable from reimbursement‐based
awards in the same period as their corresponding expenditures.
View of Responsible Officials: There is no disagreement with this audit finding.
Federal Agency: U.S. Department of Health and Human Services Federal
Program Name: Head Start Cluster
Assistance Listing Number: 93.600
Pass‐through Agency: N/A
Contract numbers: 10CH01029405C3 10CH01029406
10CH01204401
10HE00135801C5
10HE00135801C6
Contract periods: 01/2020‐06/2021 01/2021‐06/2021
07/2021‐12/2021
07/2021‐06/2023
07/2021‐06/2023
Type of Finding: Significant Deficiency in Internal Control Over Compliance ‐ Allowable Costs and
Cost Principles
Criteria: The Association’s procedures for processing expenditures, and primarily
allocating expenditures to programs, should include controls that ensure expenditures are
properly charged to program and allocated in accordance with the federal grant requirements.
The objective of the Assistance Listing 93.600 Head Start program (including Early Head
Start and Early Head Start Partnerships) is to promote school readiness of low‐income
children (including American Indians, Alaska Natives and migrant and seasonal farm workers)
by enhancing children’s cognitive, social and emotional development. During the fiscal year
ending December 31, 2021, the Association expended $4,720,185 in federal funding.
Federal regulations require award recipients to establish and follow internal controls
that ensure compliance with program requirements. These controls include understanding
program requirements and monitoring the effectiveness of established controls.
Federal regulations require the Association to have adequate time‐and‐effort documentation
to support all payroll costs charged to the Head Start awards. 2 CFR 200.430, Compensation –
personal services, states, in part:
“(i) Standards for Documentation of Personnel Expenses
(1) Charges to Federal awards for salaries and wages must be based on records that accurately
reflect the work performed. These records must:
(ii) Be supported by a system of internal control which provides reasonable assurance that the
charges
are accurate, allowable, and properly allocated…” Depending on the number and types of activities employees perform,
time and effort documentation can be in the form of semi‐annual certification or monthly
personnel activity reports, such as a timesheet.
Condition: The Association’s controls were not effective to ensure it maintained
adequate time and effort documentation, as required by federal regulations and the grantor.
During review of payroll costs for the year ended December 31, 2021, the following was noted:
• Payroll costs were charged according to budgeted time rather than reconciling to actual hours
worked.
• Two payroll disbursements were not allocated in compliance with the Associations
approved cost allocation plan.
This internal control deficiency is considered to be a significant deficiency.
Questioned Costs: None.
Context: Procedures included examining payroll charges for 40 randomly selected employees
for January through December 2021.
Cause: The Association changed the software used for payroll processing from QuickBooks to MIP in
July 2020. They then changed their fiscal accounting software from QuickBooks to MIP in January
2021. The new software implementation was fraught with many challenges, one of which being
implementing electronic processes that met the time and effort requirements outlined in the
Association’s policy manual.
Effect: By not keeping proper time‐and‐effort records, the Association cannot demonstrate
compliance with grantor’s requirements that require support for payroll costs charged to the
federal program.
The Association provided alternate documentation that demonstrated the payroll costs charged to the
program were allowable. Therefore, we are not questioning costs.
Statistical Sampling: The sample was not intended to be, and was not, a statistically valid sample.
Recommendation: The Association follow its own documented controls to ensure it prepares
adequate time‐ and‐effort documentation to support payroll costs charged to the federal grant.
View of Responsible Officials: There is no disagreement with this audit finding.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Head Start Cluster
Assistance Listing Number: 93.600
Pass‐through Agency: N/A
Contract numbers: 10CH01029405C3
10CH01029406
10CH01204401
10HE00135801C5
10HE00135801C6
Contract periods: 01/2020‐06/2021
01/2021‐06/2021
07/2021‐12/2021
07/2021‐06/2023
07/2021‐06/2023 Criteria: As stated in the U.S. Department of Health and Human Services (HHS) Grants Policy
Statement, grant recipients are required to meet the standards and requirements for financial
management systems set forth or referenced in 45 CFR 74.21 or 92.20, as applicable. Further,
financial systems must enable grant recipients to do the following:
• Provide accurate, current, and complete financial information about Federal awards.
• Maintain records that adequately identify the sources of funds for federally assisted
activities and the purposes for which the award was used.
• Maintain effective control over and accountability for all cash, real and personal
property, and other assets under the award.
• Compare actual expenditures or outlays with the approved budget for the award.
• Determine the allowability of costs in accordance with the applicable federal cost
principles, program regulations, and other regulations cited in the Notice of Award.
• Minimize the time elapsing between any advance payment under the award(s) and disbursement of
the funds for direct program costs and the proportionate share of any allowable
indirect or facilities and administrative costs.
Condition: The Association’s controls were not effective to ensure the financial systems migration
from Intuit QuickBooks Enterprise to MIP Fund Accounting satisfied the requirements for financial
reporting as stipulated by federal regulations and HHS. The initial financial reports provided by
the Association did not provide accurate or complete information about the federal awards
under its management. Further, initial bank reconciliation reports did not provide proof of
effective control over and accountability for cash assets held under the award.
This internal control deficiency is considered to be a material weakness.
Context: Procedures included examining bank reconciliation reports, general ledger detail reports,
and budget vs. actual reports by program and tracing to supporting documentation for a
sample of transactions in each operations cycle (cash receipts, cash disbursements, payroll
disbursements, journal entries).
Cause: The Association changed the software used for maintaining its financial systems from Intuit
QuickBooks Enterprise to MIP Fund Accounting in July 2020, beginning with their payroll processing.
Full implementation of all other operating cycles occurred effective in January 2021. The
system migration did not include adequate vendor support for building a chart of
accounts or custom reporting tools to allow for a level of reporting required to produce
timely and accurate financial statements for federal reporting needs. Further, the beginning
subledgers for accounts receivable and accounts payable, and beginning outstanding reconciling
items for cash accounts, were not properly built into the MIP Fund Accounting system
during the early implementation
process, resulting in the Association having difficulties reconciling their cash accounts.
Effect: By not successfully implementing a financial system as required under federal
and HHS agency regulations, the Association cannot demonstrate compliance with grantor’s
requirements that require accurate, current, and complete financial information regarding the
federal awards under its management.
Recommendation: The Association continue to work internally and with the software vendor
and outside consultants as needed to implement a chart of accounts and custom
reporting tools that will assist them in complying with federal regulations regarding its
financial system.
View of Responsible Officials: There is no disagreement with this audit finding.
Criteria: As stated in the U.S. Department of Health and Human Services (HHS) Grants Policy
Statement, grant recipients are required to implement financial systems that enable grant
recipients to maintain effective control over and accountability for all cash under the award.
Condition: The Association’s controls were not effective to ensure it performed the bank
reconciliation process on an accurate or timely basis.
We consider this internal control deficiency to be a significant deficiency.
Context: Our procedures included examining bank reconciliation reports for the December
2021 period. We reviewed the bank reconciliations for unusual transactions, large
reconciling items, and traced a sample of transactions to supporting documentation such as
copies of cleared checks, bank statements, or other items.
Cause: The Association changed the software used for processing its bank reconciliations from
Intuit QuickBooks Enterprise to MIP Fund Accounting in January 2021. The system migration
did not include entering detailed outstanding reconciling items for cash accounts as of
December 31, 2020, resulting in the Association having difficulties reconciling their
cash accounts on a timely basis. The initial reconciliations included large journal
entries to cash accounts that did not have sufficient documentation as support and
resulted in the bank reconciliations being redone to properly account for outstanding
uncleared items that carried over from the prior fiscal year.
Effect: By not reconciling the bank accounts on a timely basis, the financial reports initially
provided for the audit were not accurate. This resulted in the delay of the audit until
the bank reconciliations could be properly completed to account for outstanding uncleared
items that carried over from the prior fiscal year.
Recommendation: We recommend the Association follow its own documented controls to ensure it
prepares bank reconciliations on a timely and accurate basis.
View of Responsible Officials: There is no disagreement with this audit finding.
Criteria: Accounting principles generally accepted in the United States of America
require that amounts be recognized as revenues, with corresponding receivables if
applicable, when the product or service has been delivered to a customer and when the dollar
amount is readily determinable.
Condition: The Association’s controls were not effective to ensure it was recognizing
revenues and related receivables for reimbursement‐based programming in the same period the
expenditure occurred.
We consider this internal control deficiency to be a significant deficiency.
Context: Our procedures included examining subsequent cash receipts and vouching to
expenditures made during the fiscal year, identifying several such receipts that should
have been posted as receivables as of December 31, 2021 but were not.
Cause: The Association typically records cash receipts on a cash basis instead of accrual basis as
stipulated in U.S. GAAP.
Effect: By not recording receivables in the correct period, revenues from reimbursement‐based
awards could be materially misstated.
Recommendation: We recommend the Association establish controls that allow for the
timely and accurate recording of grants and contracts receivable from reimbursement‐based
awards in the same period as their corresponding expenditures.
View of Responsible Officials: There is no disagreement with this audit finding.
Federal Agency: U.S. Department of Health and Human Services Federal
Program Name: Head Start Cluster
Assistance Listing Number: 93.600
Pass‐through Agency: N/A
Contract numbers: 10CH01029405C3 10CH01029406
10CH01204401
10HE00135801C5
10HE00135801C6
Contract periods: 01/2020‐06/2021 01/2021‐06/2021
07/2021‐12/2021
07/2021‐06/2023
07/2021‐06/2023
Type of Finding: Significant Deficiency in Internal Control Over Compliance ‐ Allowable Costs and
Cost Principles
Criteria: The Association’s procedures for processing expenditures, and primarily
allocating expenditures to programs, should include controls that ensure expenditures are
properly charged to program and allocated in accordance with the federal grant requirements.
The objective of the Assistance Listing 93.600 Head Start program (including Early Head
Start and Early Head Start Partnerships) is to promote school readiness of low‐income
children (including American Indians, Alaska Natives and migrant and seasonal farm workers)
by enhancing children’s cognitive, social and emotional development. During the fiscal year
ending December 31, 2021, the Association expended $4,720,185 in federal funding.
Federal regulations require award recipients to establish and follow internal controls
that ensure compliance with program requirements. These controls include understanding
program requirements and monitoring the effectiveness of established controls.
Federal regulations require the Association to have adequate time‐and‐effort documentation
to support all payroll costs charged to the Head Start awards. 2 CFR 200.430, Compensation –
personal services, states, in part:
“(i) Standards for Documentation of Personnel Expenses
(1) Charges to Federal awards for salaries and wages must be based on records that accurately
reflect the work performed. These records must:
(ii) Be supported by a system of internal control which provides reasonable assurance that the
charges
are accurate, allowable, and properly allocated…” Depending on the number and types of activities employees perform,
time and effort documentation can be in the form of semi‐annual certification or monthly
personnel activity reports, such as a timesheet.
Condition: The Association’s controls were not effective to ensure it maintained
adequate time and effort documentation, as required by federal regulations and the grantor.
During review of payroll costs for the year ended December 31, 2021, the following was noted:
• Payroll costs were charged according to budgeted time rather than reconciling to actual hours
worked.
• Two payroll disbursements were not allocated in compliance with the Associations
approved cost allocation plan.
This internal control deficiency is considered to be a significant deficiency.
Questioned Costs: None.
Context: Procedures included examining payroll charges for 40 randomly selected employees
for January through December 2021.
Cause: The Association changed the software used for payroll processing from QuickBooks to MIP in
July 2020. They then changed their fiscal accounting software from QuickBooks to MIP in January
2021. The new software implementation was fraught with many challenges, one of which being
implementing electronic processes that met the time and effort requirements outlined in the
Association’s policy manual.
Effect: By not keeping proper time‐and‐effort records, the Association cannot demonstrate
compliance with grantor’s requirements that require support for payroll costs charged to the
federal program.
The Association provided alternate documentation that demonstrated the payroll costs charged to the
program were allowable. Therefore, we are not questioning costs.
Statistical Sampling: The sample was not intended to be, and was not, a statistically valid sample.
Recommendation: The Association follow its own documented controls to ensure it prepares
adequate time‐ and‐effort documentation to support payroll costs charged to the federal grant.
View of Responsible Officials: There is no disagreement with this audit finding.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Head Start Cluster
Assistance Listing Number: 93.600
Pass‐through Agency: N/A
Contract numbers: 10CH01029405C3
10CH01029406
10CH01204401
10HE00135801C5
10HE00135801C6
Contract periods: 01/2020‐06/2021
01/2021‐06/2021
07/2021‐12/2021
07/2021‐06/2023
07/2021‐06/2023 Criteria: As stated in the U.S. Department of Health and Human Services (HHS) Grants Policy
Statement, grant recipients are required to meet the standards and requirements for financial
management systems set forth or referenced in 45 CFR 74.21 or 92.20, as applicable. Further,
financial systems must enable grant recipients to do the following:
• Provide accurate, current, and complete financial information about Federal awards.
• Maintain records that adequately identify the sources of funds for federally assisted
activities and the purposes for which the award was used.
• Maintain effective control over and accountability for all cash, real and personal
property, and other assets under the award.
• Compare actual expenditures or outlays with the approved budget for the award.
• Determine the allowability of costs in accordance with the applicable federal cost
principles, program regulations, and other regulations cited in the Notice of Award.
• Minimize the time elapsing between any advance payment under the award(s) and disbursement of
the funds for direct program costs and the proportionate share of any allowable
indirect or facilities and administrative costs.
Condition: The Association’s controls were not effective to ensure the financial systems migration
from Intuit QuickBooks Enterprise to MIP Fund Accounting satisfied the requirements for financial
reporting as stipulated by federal regulations and HHS. The initial financial reports provided by
the Association did not provide accurate or complete information about the federal awards
under its management. Further, initial bank reconciliation reports did not provide proof of
effective control over and accountability for cash assets held under the award.
This internal control deficiency is considered to be a material weakness.
Context: Procedures included examining bank reconciliation reports, general ledger detail reports,
and budget vs. actual reports by program and tracing to supporting documentation for a
sample of transactions in each operations cycle (cash receipts, cash disbursements, payroll
disbursements, journal entries).
Cause: The Association changed the software used for maintaining its financial systems from Intuit
QuickBooks Enterprise to MIP Fund Accounting in July 2020, beginning with their payroll processing.
Full implementation of all other operating cycles occurred effective in January 2021. The
system migration did not include adequate vendor support for building a chart of
accounts or custom reporting tools to allow for a level of reporting required to produce
timely and accurate financial statements for federal reporting needs. Further, the beginning
subledgers for accounts receivable and accounts payable, and beginning outstanding reconciling
items for cash accounts, were not properly built into the MIP Fund Accounting system
during the early implementation
process, resulting in the Association having difficulties reconciling their cash accounts.
Effect: By not successfully implementing a financial system as required under federal
and HHS agency regulations, the Association cannot demonstrate compliance with grantor’s
requirements that require accurate, current, and complete financial information regarding the
federal awards under its management.
Recommendation: The Association continue to work internally and with the software vendor
and outside consultants as needed to implement a chart of accounts and custom
reporting tools that will assist them in complying with federal regulations regarding its
financial system.
View of Responsible Officials: There is no disagreement with this audit finding.
Criteria: As stated in the U.S. Department of Health and Human Services (HHS) Grants Policy
Statement, grant recipients are required to implement financial systems that enable grant
recipients to maintain effective control over and accountability for all cash under the award.
Condition: The Association’s controls were not effective to ensure it performed the bank
reconciliation process on an accurate or timely basis.
We consider this internal control deficiency to be a significant deficiency.
Context: Our procedures included examining bank reconciliation reports for the December
2021 period. We reviewed the bank reconciliations for unusual transactions, large
reconciling items, and traced a sample of transactions to supporting documentation such as
copies of cleared checks, bank statements, or other items.
Cause: The Association changed the software used for processing its bank reconciliations from
Intuit QuickBooks Enterprise to MIP Fund Accounting in January 2021. The system migration
did not include entering detailed outstanding reconciling items for cash accounts as of
December 31, 2020, resulting in the Association having difficulties reconciling their
cash accounts on a timely basis. The initial reconciliations included large journal
entries to cash accounts that did not have sufficient documentation as support and
resulted in the bank reconciliations being redone to properly account for outstanding
uncleared items that carried over from the prior fiscal year.
Effect: By not reconciling the bank accounts on a timely basis, the financial reports initially
provided for the audit were not accurate. This resulted in the delay of the audit until
the bank reconciliations could be properly completed to account for outstanding uncleared
items that carried over from the prior fiscal year.
Recommendation: We recommend the Association follow its own documented controls to ensure it
prepares bank reconciliations on a timely and accurate basis.
View of Responsible Officials: There is no disagreement with this audit finding.
Criteria: Accounting principles generally accepted in the United States of America
require that amounts be recognized as revenues, with corresponding receivables if
applicable, when the product or service has been delivered to a customer and when the dollar
amount is readily determinable.
Condition: The Association’s controls were not effective to ensure it was recognizing
revenues and related receivables for reimbursement‐based programming in the same period the
expenditure occurred.
We consider this internal control deficiency to be a significant deficiency.
Context: Our procedures included examining subsequent cash receipts and vouching to
expenditures made during the fiscal year, identifying several such receipts that should
have been posted as receivables as of December 31, 2021 but were not.
Cause: The Association typically records cash receipts on a cash basis instead of accrual basis as
stipulated in U.S. GAAP.
Effect: By not recording receivables in the correct period, revenues from reimbursement‐based
awards could be materially misstated.
Recommendation: We recommend the Association establish controls that allow for the
timely and accurate recording of grants and contracts receivable from reimbursement‐based
awards in the same period as their corresponding expenditures.
View of Responsible Officials: There is no disagreement with this audit finding.
Federal Agency: U.S. Department of Health and Human Services Federal
Program Name: Head Start Cluster
Assistance Listing Number: 93.600
Pass‐through Agency: N/A
Contract numbers: 10CH01029405C3 10CH01029406
10CH01204401
10HE00135801C5
10HE00135801C6
Contract periods: 01/2020‐06/2021 01/2021‐06/2021
07/2021‐12/2021
07/2021‐06/2023
07/2021‐06/2023
Type of Finding: Significant Deficiency in Internal Control Over Compliance ‐ Allowable Costs and
Cost Principles
Criteria: The Association’s procedures for processing expenditures, and primarily
allocating expenditures to programs, should include controls that ensure expenditures are
properly charged to program and allocated in accordance with the federal grant requirements.
The objective of the Assistance Listing 93.600 Head Start program (including Early Head
Start and Early Head Start Partnerships) is to promote school readiness of low‐income
children (including American Indians, Alaska Natives and migrant and seasonal farm workers)
by enhancing children’s cognitive, social and emotional development. During the fiscal year
ending December 31, 2021, the Association expended $4,720,185 in federal funding.
Federal regulations require award recipients to establish and follow internal controls
that ensure compliance with program requirements. These controls include understanding
program requirements and monitoring the effectiveness of established controls.
Federal regulations require the Association to have adequate time‐and‐effort documentation
to support all payroll costs charged to the Head Start awards. 2 CFR 200.430, Compensation –
personal services, states, in part:
“(i) Standards for Documentation of Personnel Expenses
(1) Charges to Federal awards for salaries and wages must be based on records that accurately
reflect the work performed. These records must:
(ii) Be supported by a system of internal control which provides reasonable assurance that the
charges
are accurate, allowable, and properly allocated…” Depending on the number and types of activities employees perform,
time and effort documentation can be in the form of semi‐annual certification or monthly
personnel activity reports, such as a timesheet.
Condition: The Association’s controls were not effective to ensure it maintained
adequate time and effort documentation, as required by federal regulations and the grantor.
During review of payroll costs for the year ended December 31, 2021, the following was noted:
• Payroll costs were charged according to budgeted time rather than reconciling to actual hours
worked.
• Two payroll disbursements were not allocated in compliance with the Associations
approved cost allocation plan.
This internal control deficiency is considered to be a significant deficiency.
Questioned Costs: None.
Context: Procedures included examining payroll charges for 40 randomly selected employees
for January through December 2021.
Cause: The Association changed the software used for payroll processing from QuickBooks to MIP in
July 2020. They then changed their fiscal accounting software from QuickBooks to MIP in January
2021. The new software implementation was fraught with many challenges, one of which being
implementing electronic processes that met the time and effort requirements outlined in the
Association’s policy manual.
Effect: By not keeping proper time‐and‐effort records, the Association cannot demonstrate
compliance with grantor’s requirements that require support for payroll costs charged to the
federal program.
The Association provided alternate documentation that demonstrated the payroll costs charged to the
program were allowable. Therefore, we are not questioning costs.
Statistical Sampling: The sample was not intended to be, and was not, a statistically valid sample.
Recommendation: The Association follow its own documented controls to ensure it prepares
adequate time‐ and‐effort documentation to support payroll costs charged to the federal grant.
View of Responsible Officials: There is no disagreement with this audit finding.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Head Start Cluster
Assistance Listing Number: 93.600
Pass‐through Agency: N/A
Contract numbers: 10CH01029405C3
10CH01029406
10CH01204401
10HE00135801C5
10HE00135801C6
Contract periods: 01/2020‐06/2021
01/2021‐06/2021
07/2021‐12/2021
07/2021‐06/2023
07/2021‐06/2023 Criteria: As stated in the U.S. Department of Health and Human Services (HHS) Grants Policy
Statement, grant recipients are required to meet the standards and requirements for financial
management systems set forth or referenced in 45 CFR 74.21 or 92.20, as applicable. Further,
financial systems must enable grant recipients to do the following:
• Provide accurate, current, and complete financial information about Federal awards.
• Maintain records that adequately identify the sources of funds for federally assisted
activities and the purposes for which the award was used.
• Maintain effective control over and accountability for all cash, real and personal
property, and other assets under the award.
• Compare actual expenditures or outlays with the approved budget for the award.
• Determine the allowability of costs in accordance with the applicable federal cost
principles, program regulations, and other regulations cited in the Notice of Award.
• Minimize the time elapsing between any advance payment under the award(s) and disbursement of
the funds for direct program costs and the proportionate share of any allowable
indirect or facilities and administrative costs.
Condition: The Association’s controls were not effective to ensure the financial systems migration
from Intuit QuickBooks Enterprise to MIP Fund Accounting satisfied the requirements for financial
reporting as stipulated by federal regulations and HHS. The initial financial reports provided by
the Association did not provide accurate or complete information about the federal awards
under its management. Further, initial bank reconciliation reports did not provide proof of
effective control over and accountability for cash assets held under the award.
This internal control deficiency is considered to be a material weakness.
Context: Procedures included examining bank reconciliation reports, general ledger detail reports,
and budget vs. actual reports by program and tracing to supporting documentation for a
sample of transactions in each operations cycle (cash receipts, cash disbursements, payroll
disbursements, journal entries).
Cause: The Association changed the software used for maintaining its financial systems from Intuit
QuickBooks Enterprise to MIP Fund Accounting in July 2020, beginning with their payroll processing.
Full implementation of all other operating cycles occurred effective in January 2021. The
system migration did not include adequate vendor support for building a chart of
accounts or custom reporting tools to allow for a level of reporting required to produce
timely and accurate financial statements for federal reporting needs. Further, the beginning
subledgers for accounts receivable and accounts payable, and beginning outstanding reconciling
items for cash accounts, were not properly built into the MIP Fund Accounting system
during the early implementation
process, resulting in the Association having difficulties reconciling their cash accounts.
Effect: By not successfully implementing a financial system as required under federal
and HHS agency regulations, the Association cannot demonstrate compliance with grantor’s
requirements that require accurate, current, and complete financial information regarding the
federal awards under its management.
Recommendation: The Association continue to work internally and with the software vendor
and outside consultants as needed to implement a chart of accounts and custom
reporting tools that will assist them in complying with federal regulations regarding its
financial system.
View of Responsible Officials: There is no disagreement with this audit finding.
Criteria: As stated in the U.S. Department of Health and Human Services (HHS) Grants Policy
Statement, grant recipients are required to implement financial systems that enable grant
recipients to maintain effective control over and accountability for all cash under the award.
Condition: The Association’s controls were not effective to ensure it performed the bank
reconciliation process on an accurate or timely basis.
We consider this internal control deficiency to be a significant deficiency.
Context: Our procedures included examining bank reconciliation reports for the December
2021 period. We reviewed the bank reconciliations for unusual transactions, large
reconciling items, and traced a sample of transactions to supporting documentation such as
copies of cleared checks, bank statements, or other items.
Cause: The Association changed the software used for processing its bank reconciliations from
Intuit QuickBooks Enterprise to MIP Fund Accounting in January 2021. The system migration
did not include entering detailed outstanding reconciling items for cash accounts as of
December 31, 2020, resulting in the Association having difficulties reconciling their
cash accounts on a timely basis. The initial reconciliations included large journal
entries to cash accounts that did not have sufficient documentation as support and
resulted in the bank reconciliations being redone to properly account for outstanding
uncleared items that carried over from the prior fiscal year.
Effect: By not reconciling the bank accounts on a timely basis, the financial reports initially
provided for the audit were not accurate. This resulted in the delay of the audit until
the bank reconciliations could be properly completed to account for outstanding uncleared
items that carried over from the prior fiscal year.
Recommendation: We recommend the Association follow its own documented controls to ensure it
prepares bank reconciliations on a timely and accurate basis.
View of Responsible Officials: There is no disagreement with this audit finding.
Criteria: Accounting principles generally accepted in the United States of America
require that amounts be recognized as revenues, with corresponding receivables if
applicable, when the product or service has been delivered to a customer and when the dollar
amount is readily determinable.
Condition: The Association’s controls were not effective to ensure it was recognizing
revenues and related receivables for reimbursement‐based programming in the same period the
expenditure occurred.
We consider this internal control deficiency to be a significant deficiency.
Context: Our procedures included examining subsequent cash receipts and vouching to
expenditures made during the fiscal year, identifying several such receipts that should
have been posted as receivables as of December 31, 2021 but were not.
Cause: The Association typically records cash receipts on a cash basis instead of accrual basis as
stipulated in U.S. GAAP.
Effect: By not recording receivables in the correct period, revenues from reimbursement‐based
awards could be materially misstated.
Recommendation: We recommend the Association establish controls that allow for the
timely and accurate recording of grants and contracts receivable from reimbursement‐based
awards in the same period as their corresponding expenditures.
View of Responsible Officials: There is no disagreement with this audit finding.
Federal Agency: U.S. Department of Health and Human Services Federal
Program Name: Head Start Cluster
Assistance Listing Number: 93.600
Pass‐through Agency: N/A
Contract numbers: 10CH01029405C3 10CH01029406
10CH01204401
10HE00135801C5
10HE00135801C6
Contract periods: 01/2020‐06/2021 01/2021‐06/2021
07/2021‐12/2021
07/2021‐06/2023
07/2021‐06/2023
Type of Finding: Significant Deficiency in Internal Control Over Compliance ‐ Allowable Costs and
Cost Principles
Criteria: The Association’s procedures for processing expenditures, and primarily
allocating expenditures to programs, should include controls that ensure expenditures are
properly charged to program and allocated in accordance with the federal grant requirements.
The objective of the Assistance Listing 93.600 Head Start program (including Early Head
Start and Early Head Start Partnerships) is to promote school readiness of low‐income
children (including American Indians, Alaska Natives and migrant and seasonal farm workers)
by enhancing children’s cognitive, social and emotional development. During the fiscal year
ending December 31, 2021, the Association expended $4,720,185 in federal funding.
Federal regulations require award recipients to establish and follow internal controls
that ensure compliance with program requirements. These controls include understanding
program requirements and monitoring the effectiveness of established controls.
Federal regulations require the Association to have adequate time‐and‐effort documentation
to support all payroll costs charged to the Head Start awards. 2 CFR 200.430, Compensation –
personal services, states, in part:
“(i) Standards for Documentation of Personnel Expenses
(1) Charges to Federal awards for salaries and wages must be based on records that accurately
reflect the work performed. These records must:
(ii) Be supported by a system of internal control which provides reasonable assurance that the
charges
are accurate, allowable, and properly allocated…” Depending on the number and types of activities employees perform,
time and effort documentation can be in the form of semi‐annual certification or monthly
personnel activity reports, such as a timesheet.
Condition: The Association’s controls were not effective to ensure it maintained
adequate time and effort documentation, as required by federal regulations and the grantor.
During review of payroll costs for the year ended December 31, 2021, the following was noted:
• Payroll costs were charged according to budgeted time rather than reconciling to actual hours
worked.
• Two payroll disbursements were not allocated in compliance with the Associations
approved cost allocation plan.
This internal control deficiency is considered to be a significant deficiency.
Questioned Costs: None.
Context: Procedures included examining payroll charges for 40 randomly selected employees
for January through December 2021.
Cause: The Association changed the software used for payroll processing from QuickBooks to MIP in
July 2020. They then changed their fiscal accounting software from QuickBooks to MIP in January
2021. The new software implementation was fraught with many challenges, one of which being
implementing electronic processes that met the time and effort requirements outlined in the
Association’s policy manual.
Effect: By not keeping proper time‐and‐effort records, the Association cannot demonstrate
compliance with grantor’s requirements that require support for payroll costs charged to the
federal program.
The Association provided alternate documentation that demonstrated the payroll costs charged to the
program were allowable. Therefore, we are not questioning costs.
Statistical Sampling: The sample was not intended to be, and was not, a statistically valid sample.
Recommendation: The Association follow its own documented controls to ensure it prepares
adequate time‐ and‐effort documentation to support payroll costs charged to the federal grant.
View of Responsible Officials: There is no disagreement with this audit finding.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Head Start Cluster
Assistance Listing Number: 93.600
Pass‐through Agency: N/A
Contract numbers: 10CH01029405C3
10CH01029406
10CH01204401
10HE00135801C5
10HE00135801C6
Contract periods: 01/2020‐06/2021
01/2021‐06/2021
07/2021‐12/2021
07/2021‐06/2023
07/2021‐06/2023 Criteria: As stated in the U.S. Department of Health and Human Services (HHS) Grants Policy
Statement, grant recipients are required to meet the standards and requirements for financial
management systems set forth or referenced in 45 CFR 74.21 or 92.20, as applicable. Further,
financial systems must enable grant recipients to do the following:
• Provide accurate, current, and complete financial information about Federal awards.
• Maintain records that adequately identify the sources of funds for federally assisted
activities and the purposes for which the award was used.
• Maintain effective control over and accountability for all cash, real and personal
property, and other assets under the award.
• Compare actual expenditures or outlays with the approved budget for the award.
• Determine the allowability of costs in accordance with the applicable federal cost
principles, program regulations, and other regulations cited in the Notice of Award.
• Minimize the time elapsing between any advance payment under the award(s) and disbursement of
the funds for direct program costs and the proportionate share of any allowable
indirect or facilities and administrative costs.
Condition: The Association’s controls were not effective to ensure the financial systems migration
from Intuit QuickBooks Enterprise to MIP Fund Accounting satisfied the requirements for financial
reporting as stipulated by federal regulations and HHS. The initial financial reports provided by
the Association did not provide accurate or complete information about the federal awards
under its management. Further, initial bank reconciliation reports did not provide proof of
effective control over and accountability for cash assets held under the award.
This internal control deficiency is considered to be a material weakness.
Context: Procedures included examining bank reconciliation reports, general ledger detail reports,
and budget vs. actual reports by program and tracing to supporting documentation for a
sample of transactions in each operations cycle (cash receipts, cash disbursements, payroll
disbursements, journal entries).
Cause: The Association changed the software used for maintaining its financial systems from Intuit
QuickBooks Enterprise to MIP Fund Accounting in July 2020, beginning with their payroll processing.
Full implementation of all other operating cycles occurred effective in January 2021. The
system migration did not include adequate vendor support for building a chart of
accounts or custom reporting tools to allow for a level of reporting required to produce
timely and accurate financial statements for federal reporting needs. Further, the beginning
subledgers for accounts receivable and accounts payable, and beginning outstanding reconciling
items for cash accounts, were not properly built into the MIP Fund Accounting system
during the early implementation
process, resulting in the Association having difficulties reconciling their cash accounts.
Effect: By not successfully implementing a financial system as required under federal
and HHS agency regulations, the Association cannot demonstrate compliance with grantor’s
requirements that require accurate, current, and complete financial information regarding the
federal awards under its management.
Recommendation: The Association continue to work internally and with the software vendor
and outside consultants as needed to implement a chart of accounts and custom
reporting tools that will assist them in complying with federal regulations regarding its
financial system.
View of Responsible Officials: There is no disagreement with this audit finding.
Criteria: As stated in the U.S. Department of Health and Human Services (HHS) Grants Policy
Statement, grant recipients are required to implement financial systems that enable grant
recipients to maintain effective control over and accountability for all cash under the award.
Condition: The Association’s controls were not effective to ensure it performed the bank
reconciliation process on an accurate or timely basis.
We consider this internal control deficiency to be a significant deficiency.
Context: Our procedures included examining bank reconciliation reports for the December
2021 period. We reviewed the bank reconciliations for unusual transactions, large
reconciling items, and traced a sample of transactions to supporting documentation such as
copies of cleared checks, bank statements, or other items.
Cause: The Association changed the software used for processing its bank reconciliations from
Intuit QuickBooks Enterprise to MIP Fund Accounting in January 2021. The system migration
did not include entering detailed outstanding reconciling items for cash accounts as of
December 31, 2020, resulting in the Association having difficulties reconciling their
cash accounts on a timely basis. The initial reconciliations included large journal
entries to cash accounts that did not have sufficient documentation as support and
resulted in the bank reconciliations being redone to properly account for outstanding
uncleared items that carried over from the prior fiscal year.
Effect: By not reconciling the bank accounts on a timely basis, the financial reports initially
provided for the audit were not accurate. This resulted in the delay of the audit until
the bank reconciliations could be properly completed to account for outstanding uncleared
items that carried over from the prior fiscal year.
Recommendation: We recommend the Association follow its own documented controls to ensure it
prepares bank reconciliations on a timely and accurate basis.
View of Responsible Officials: There is no disagreement with this audit finding.
Criteria: Accounting principles generally accepted in the United States of America
require that amounts be recognized as revenues, with corresponding receivables if
applicable, when the product or service has been delivered to a customer and when the dollar
amount is readily determinable.
Condition: The Association’s controls were not effective to ensure it was recognizing
revenues and related receivables for reimbursement‐based programming in the same period the
expenditure occurred.
We consider this internal control deficiency to be a significant deficiency.
Context: Our procedures included examining subsequent cash receipts and vouching to
expenditures made during the fiscal year, identifying several such receipts that should
have been posted as receivables as of December 31, 2021 but were not.
Cause: The Association typically records cash receipts on a cash basis instead of accrual basis as
stipulated in U.S. GAAP.
Effect: By not recording receivables in the correct period, revenues from reimbursement‐based
awards could be materially misstated.
Recommendation: We recommend the Association establish controls that allow for the
timely and accurate recording of grants and contracts receivable from reimbursement‐based
awards in the same period as their corresponding expenditures.
View of Responsible Officials: There is no disagreement with this audit finding.
Federal Agency: U.S. Department of Health and Human Services Federal
Program Name: Head Start Cluster
Assistance Listing Number: 93.600
Pass‐through Agency: N/A
Contract numbers: 10CH01029405C3 10CH01029406
10CH01204401
10HE00135801C5
10HE00135801C6
Contract periods: 01/2020‐06/2021 01/2021‐06/2021
07/2021‐12/2021
07/2021‐06/2023
07/2021‐06/2023
Type of Finding: Significant Deficiency in Internal Control Over Compliance ‐ Allowable Costs and
Cost Principles
Criteria: The Association’s procedures for processing expenditures, and primarily
allocating expenditures to programs, should include controls that ensure expenditures are
properly charged to program and allocated in accordance with the federal grant requirements.
The objective of the Assistance Listing 93.600 Head Start program (including Early Head
Start and Early Head Start Partnerships) is to promote school readiness of low‐income
children (including American Indians, Alaska Natives and migrant and seasonal farm workers)
by enhancing children’s cognitive, social and emotional development. During the fiscal year
ending December 31, 2021, the Association expended $4,720,185 in federal funding.
Federal regulations require award recipients to establish and follow internal controls
that ensure compliance with program requirements. These controls include understanding
program requirements and monitoring the effectiveness of established controls.
Federal regulations require the Association to have adequate time‐and‐effort documentation
to support all payroll costs charged to the Head Start awards. 2 CFR 200.430, Compensation –
personal services, states, in part:
“(i) Standards for Documentation of Personnel Expenses
(1) Charges to Federal awards for salaries and wages must be based on records that accurately
reflect the work performed. These records must:
(ii) Be supported by a system of internal control which provides reasonable assurance that the
charges
are accurate, allowable, and properly allocated…” Depending on the number and types of activities employees perform,
time and effort documentation can be in the form of semi‐annual certification or monthly
personnel activity reports, such as a timesheet.
Condition: The Association’s controls were not effective to ensure it maintained
adequate time and effort documentation, as required by federal regulations and the grantor.
During review of payroll costs for the year ended December 31, 2021, the following was noted:
• Payroll costs were charged according to budgeted time rather than reconciling to actual hours
worked.
• Two payroll disbursements were not allocated in compliance with the Associations
approved cost allocation plan.
This internal control deficiency is considered to be a significant deficiency.
Questioned Costs: None.
Context: Procedures included examining payroll charges for 40 randomly selected employees
for January through December 2021.
Cause: The Association changed the software used for payroll processing from QuickBooks to MIP in
July 2020. They then changed their fiscal accounting software from QuickBooks to MIP in January
2021. The new software implementation was fraught with many challenges, one of which being
implementing electronic processes that met the time and effort requirements outlined in the
Association’s policy manual.
Effect: By not keeping proper time‐and‐effort records, the Association cannot demonstrate
compliance with grantor’s requirements that require support for payroll costs charged to the
federal program.
The Association provided alternate documentation that demonstrated the payroll costs charged to the
program were allowable. Therefore, we are not questioning costs.
Statistical Sampling: The sample was not intended to be, and was not, a statistically valid sample.
Recommendation: The Association follow its own documented controls to ensure it prepares
adequate time‐ and‐effort documentation to support payroll costs charged to the federal grant.
View of Responsible Officials: There is no disagreement with this audit finding.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Head Start Cluster
Assistance Listing Number: 93.600
Pass‐through Agency: N/A
Contract numbers: 10CH01029405C3
10CH01029406
10CH01204401
10HE00135801C5
10HE00135801C6
Contract periods: 01/2020‐06/2021
01/2021‐06/2021
07/2021‐12/2021
07/2021‐06/2023
07/2021‐06/2023 Criteria: As stated in the U.S. Department of Health and Human Services (HHS) Grants Policy
Statement, grant recipients are required to meet the standards and requirements for financial
management systems set forth or referenced in 45 CFR 74.21 or 92.20, as applicable. Further,
financial systems must enable grant recipients to do the following:
• Provide accurate, current, and complete financial information about Federal awards.
• Maintain records that adequately identify the sources of funds for federally assisted
activities and the purposes for which the award was used.
• Maintain effective control over and accountability for all cash, real and personal
property, and other assets under the award.
• Compare actual expenditures or outlays with the approved budget for the award.
• Determine the allowability of costs in accordance with the applicable federal cost
principles, program regulations, and other regulations cited in the Notice of Award.
• Minimize the time elapsing between any advance payment under the award(s) and disbursement of
the funds for direct program costs and the proportionate share of any allowable
indirect or facilities and administrative costs.
Condition: The Association’s controls were not effective to ensure the financial systems migration
from Intuit QuickBooks Enterprise to MIP Fund Accounting satisfied the requirements for financial
reporting as stipulated by federal regulations and HHS. The initial financial reports provided by
the Association did not provide accurate or complete information about the federal awards
under its management. Further, initial bank reconciliation reports did not provide proof of
effective control over and accountability for cash assets held under the award.
This internal control deficiency is considered to be a material weakness.
Context: Procedures included examining bank reconciliation reports, general ledger detail reports,
and budget vs. actual reports by program and tracing to supporting documentation for a
sample of transactions in each operations cycle (cash receipts, cash disbursements, payroll
disbursements, journal entries).
Cause: The Association changed the software used for maintaining its financial systems from Intuit
QuickBooks Enterprise to MIP Fund Accounting in July 2020, beginning with their payroll processing.
Full implementation of all other operating cycles occurred effective in January 2021. The
system migration did not include adequate vendor support for building a chart of
accounts or custom reporting tools to allow for a level of reporting required to produce
timely and accurate financial statements for federal reporting needs. Further, the beginning
subledgers for accounts receivable and accounts payable, and beginning outstanding reconciling
items for cash accounts, were not properly built into the MIP Fund Accounting system
during the early implementation
process, resulting in the Association having difficulties reconciling their cash accounts.
Effect: By not successfully implementing a financial system as required under federal
and HHS agency regulations, the Association cannot demonstrate compliance with grantor’s
requirements that require accurate, current, and complete financial information regarding the
federal awards under its management.
Recommendation: The Association continue to work internally and with the software vendor
and outside consultants as needed to implement a chart of accounts and custom
reporting tools that will assist them in complying with federal regulations regarding its
financial system.
View of Responsible Officials: There is no disagreement with this audit finding.
Criteria: As stated in the U.S. Department of Health and Human Services (HHS) Grants Policy
Statement, grant recipients are required to implement financial systems that enable grant
recipients to maintain effective control over and accountability for all cash under the award.
Condition: The Association’s controls were not effective to ensure it performed the bank
reconciliation process on an accurate or timely basis.
We consider this internal control deficiency to be a significant deficiency.
Context: Our procedures included examining bank reconciliation reports for the December
2021 period. We reviewed the bank reconciliations for unusual transactions, large
reconciling items, and traced a sample of transactions to supporting documentation such as
copies of cleared checks, bank statements, or other items.
Cause: The Association changed the software used for processing its bank reconciliations from
Intuit QuickBooks Enterprise to MIP Fund Accounting in January 2021. The system migration
did not include entering detailed outstanding reconciling items for cash accounts as of
December 31, 2020, resulting in the Association having difficulties reconciling their
cash accounts on a timely basis. The initial reconciliations included large journal
entries to cash accounts that did not have sufficient documentation as support and
resulted in the bank reconciliations being redone to properly account for outstanding
uncleared items that carried over from the prior fiscal year.
Effect: By not reconciling the bank accounts on a timely basis, the financial reports initially
provided for the audit were not accurate. This resulted in the delay of the audit until
the bank reconciliations could be properly completed to account for outstanding uncleared
items that carried over from the prior fiscal year.
Recommendation: We recommend the Association follow its own documented controls to ensure it
prepares bank reconciliations on a timely and accurate basis.
View of Responsible Officials: There is no disagreement with this audit finding.
Criteria: Accounting principles generally accepted in the United States of America
require that amounts be recognized as revenues, with corresponding receivables if
applicable, when the product or service has been delivered to a customer and when the dollar
amount is readily determinable.
Condition: The Association’s controls were not effective to ensure it was recognizing
revenues and related receivables for reimbursement‐based programming in the same period the
expenditure occurred.
We consider this internal control deficiency to be a significant deficiency.
Context: Our procedures included examining subsequent cash receipts and vouching to
expenditures made during the fiscal year, identifying several such receipts that should
have been posted as receivables as of December 31, 2021 but were not.
Cause: The Association typically records cash receipts on a cash basis instead of accrual basis as
stipulated in U.S. GAAP.
Effect: By not recording receivables in the correct period, revenues from reimbursement‐based
awards could be materially misstated.
Recommendation: We recommend the Association establish controls that allow for the
timely and accurate recording of grants and contracts receivable from reimbursement‐based
awards in the same period as their corresponding expenditures.
View of Responsible Officials: There is no disagreement with this audit finding.
Federal Agency: U.S. Department of Health and Human Services Federal
Program Name: Head Start Cluster
Assistance Listing Number: 93.600
Pass‐through Agency: N/A
Contract numbers: 10CH01029405C3 10CH01029406
10CH01204401
10HE00135801C5
10HE00135801C6
Contract periods: 01/2020‐06/2021 01/2021‐06/2021
07/2021‐12/2021
07/2021‐06/2023
07/2021‐06/2023
Type of Finding: Significant Deficiency in Internal Control Over Compliance ‐ Allowable Costs and
Cost Principles
Criteria: The Association’s procedures for processing expenditures, and primarily
allocating expenditures to programs, should include controls that ensure expenditures are
properly charged to program and allocated in accordance with the federal grant requirements.
The objective of the Assistance Listing 93.600 Head Start program (including Early Head
Start and Early Head Start Partnerships) is to promote school readiness of low‐income
children (including American Indians, Alaska Natives and migrant and seasonal farm workers)
by enhancing children’s cognitive, social and emotional development. During the fiscal year
ending December 31, 2021, the Association expended $4,720,185 in federal funding.
Federal regulations require award recipients to establish and follow internal controls
that ensure compliance with program requirements. These controls include understanding
program requirements and monitoring the effectiveness of established controls.
Federal regulations require the Association to have adequate time‐and‐effort documentation
to support all payroll costs charged to the Head Start awards. 2 CFR 200.430, Compensation –
personal services, states, in part:
“(i) Standards for Documentation of Personnel Expenses
(1) Charges to Federal awards for salaries and wages must be based on records that accurately
reflect the work performed. These records must:
(ii) Be supported by a system of internal control which provides reasonable assurance that the
charges
are accurate, allowable, and properly allocated…” Depending on the number and types of activities employees perform,
time and effort documentation can be in the form of semi‐annual certification or monthly
personnel activity reports, such as a timesheet.
Condition: The Association’s controls were not effective to ensure it maintained
adequate time and effort documentation, as required by federal regulations and the grantor.
During review of payroll costs for the year ended December 31, 2021, the following was noted:
• Payroll costs were charged according to budgeted time rather than reconciling to actual hours
worked.
• Two payroll disbursements were not allocated in compliance with the Associations
approved cost allocation plan.
This internal control deficiency is considered to be a significant deficiency.
Questioned Costs: None.
Context: Procedures included examining payroll charges for 40 randomly selected employees
for January through December 2021.
Cause: The Association changed the software used for payroll processing from QuickBooks to MIP in
July 2020. They then changed their fiscal accounting software from QuickBooks to MIP in January
2021. The new software implementation was fraught with many challenges, one of which being
implementing electronic processes that met the time and effort requirements outlined in the
Association’s policy manual.
Effect: By not keeping proper time‐and‐effort records, the Association cannot demonstrate
compliance with grantor’s requirements that require support for payroll costs charged to the
federal program.
The Association provided alternate documentation that demonstrated the payroll costs charged to the
program were allowable. Therefore, we are not questioning costs.
Statistical Sampling: The sample was not intended to be, and was not, a statistically valid sample.
Recommendation: The Association follow its own documented controls to ensure it prepares
adequate time‐ and‐effort documentation to support payroll costs charged to the federal grant.
View of Responsible Officials: There is no disagreement with this audit finding.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Head Start Cluster
Assistance Listing Number: 93.600
Pass‐through Agency: N/A
Contract numbers: 10CH01029405C3
10CH01029406
10CH01204401
10HE00135801C5
10HE00135801C6
Contract periods: 01/2020‐06/2021
01/2021‐06/2021
07/2021‐12/2021
07/2021‐06/2023
07/2021‐06/2023 Criteria: As stated in the U.S. Department of Health and Human Services (HHS) Grants Policy
Statement, grant recipients are required to meet the standards and requirements for financial
management systems set forth or referenced in 45 CFR 74.21 or 92.20, as applicable. Further,
financial systems must enable grant recipients to do the following:
• Provide accurate, current, and complete financial information about Federal awards.
• Maintain records that adequately identify the sources of funds for federally assisted
activities and the purposes for which the award was used.
• Maintain effective control over and accountability for all cash, real and personal
property, and other assets under the award.
• Compare actual expenditures or outlays with the approved budget for the award.
• Determine the allowability of costs in accordance with the applicable federal cost
principles, program regulations, and other regulations cited in the Notice of Award.
• Minimize the time elapsing between any advance payment under the award(s) and disbursement of
the funds for direct program costs and the proportionate share of any allowable
indirect or facilities and administrative costs.
Condition: The Association’s controls were not effective to ensure the financial systems migration
from Intuit QuickBooks Enterprise to MIP Fund Accounting satisfied the requirements for financial
reporting as stipulated by federal regulations and HHS. The initial financial reports provided by
the Association did not provide accurate or complete information about the federal awards
under its management. Further, initial bank reconciliation reports did not provide proof of
effective control over and accountability for cash assets held under the award.
This internal control deficiency is considered to be a material weakness.
Context: Procedures included examining bank reconciliation reports, general ledger detail reports,
and budget vs. actual reports by program and tracing to supporting documentation for a
sample of transactions in each operations cycle (cash receipts, cash disbursements, payroll
disbursements, journal entries).
Cause: The Association changed the software used for maintaining its financial systems from Intuit
QuickBooks Enterprise to MIP Fund Accounting in July 2020, beginning with their payroll processing.
Full implementation of all other operating cycles occurred effective in January 2021. The
system migration did not include adequate vendor support for building a chart of
accounts or custom reporting tools to allow for a level of reporting required to produce
timely and accurate financial statements for federal reporting needs. Further, the beginning
subledgers for accounts receivable and accounts payable, and beginning outstanding reconciling
items for cash accounts, were not properly built into the MIP Fund Accounting system
during the early implementation
process, resulting in the Association having difficulties reconciling their cash accounts.
Effect: By not successfully implementing a financial system as required under federal
and HHS agency regulations, the Association cannot demonstrate compliance with grantor’s
requirements that require accurate, current, and complete financial information regarding the
federal awards under its management.
Recommendation: The Association continue to work internally and with the software vendor
and outside consultants as needed to implement a chart of accounts and custom
reporting tools that will assist them in complying with federal regulations regarding its
financial system.
View of Responsible Officials: There is no disagreement with this audit finding.
Criteria: As stated in the U.S. Department of Health and Human Services (HHS) Grants Policy
Statement, grant recipients are required to implement financial systems that enable grant
recipients to maintain effective control over and accountability for all cash under the award.
Condition: The Association’s controls were not effective to ensure it performed the bank
reconciliation process on an accurate or timely basis.
We consider this internal control deficiency to be a significant deficiency.
Context: Our procedures included examining bank reconciliation reports for the December
2021 period. We reviewed the bank reconciliations for unusual transactions, large
reconciling items, and traced a sample of transactions to supporting documentation such as
copies of cleared checks, bank statements, or other items.
Cause: The Association changed the software used for processing its bank reconciliations from
Intuit QuickBooks Enterprise to MIP Fund Accounting in January 2021. The system migration
did not include entering detailed outstanding reconciling items for cash accounts as of
December 31, 2020, resulting in the Association having difficulties reconciling their
cash accounts on a timely basis. The initial reconciliations included large journal
entries to cash accounts that did not have sufficient documentation as support and
resulted in the bank reconciliations being redone to properly account for outstanding
uncleared items that carried over from the prior fiscal year.
Effect: By not reconciling the bank accounts on a timely basis, the financial reports initially
provided for the audit were not accurate. This resulted in the delay of the audit until
the bank reconciliations could be properly completed to account for outstanding uncleared
items that carried over from the prior fiscal year.
Recommendation: We recommend the Association follow its own documented controls to ensure it
prepares bank reconciliations on a timely and accurate basis.
View of Responsible Officials: There is no disagreement with this audit finding.
Criteria: Accounting principles generally accepted in the United States of America
require that amounts be recognized as revenues, with corresponding receivables if
applicable, when the product or service has been delivered to a customer and when the dollar
amount is readily determinable.
Condition: The Association’s controls were not effective to ensure it was recognizing
revenues and related receivables for reimbursement‐based programming in the same period the
expenditure occurred.
We consider this internal control deficiency to be a significant deficiency.
Context: Our procedures included examining subsequent cash receipts and vouching to
expenditures made during the fiscal year, identifying several such receipts that should
have been posted as receivables as of December 31, 2021 but were not.
Cause: The Association typically records cash receipts on a cash basis instead of accrual basis as
stipulated in U.S. GAAP.
Effect: By not recording receivables in the correct period, revenues from reimbursement‐based
awards could be materially misstated.
Recommendation: We recommend the Association establish controls that allow for the
timely and accurate recording of grants and contracts receivable from reimbursement‐based
awards in the same period as their corresponding expenditures.
View of Responsible Officials: There is no disagreement with this audit finding.
Federal Agency: U.S. Department of Health and Human Services Federal
Program Name: Head Start Cluster
Assistance Listing Number: 93.600
Pass‐through Agency: N/A
Contract numbers: 10CH01029405C3 10CH01029406
10CH01204401
10HE00135801C5
10HE00135801C6
Contract periods: 01/2020‐06/2021 01/2021‐06/2021
07/2021‐12/2021
07/2021‐06/2023
07/2021‐06/2023
Type of Finding: Significant Deficiency in Internal Control Over Compliance ‐ Allowable Costs and
Cost Principles
Criteria: The Association’s procedures for processing expenditures, and primarily
allocating expenditures to programs, should include controls that ensure expenditures are
properly charged to program and allocated in accordance with the federal grant requirements.
The objective of the Assistance Listing 93.600 Head Start program (including Early Head
Start and Early Head Start Partnerships) is to promote school readiness of low‐income
children (including American Indians, Alaska Natives and migrant and seasonal farm workers)
by enhancing children’s cognitive, social and emotional development. During the fiscal year
ending December 31, 2021, the Association expended $4,720,185 in federal funding.
Federal regulations require award recipients to establish and follow internal controls
that ensure compliance with program requirements. These controls include understanding
program requirements and monitoring the effectiveness of established controls.
Federal regulations require the Association to have adequate time‐and‐effort documentation
to support all payroll costs charged to the Head Start awards. 2 CFR 200.430, Compensation –
personal services, states, in part:
“(i) Standards for Documentation of Personnel Expenses
(1) Charges to Federal awards for salaries and wages must be based on records that accurately
reflect the work performed. These records must:
(ii) Be supported by a system of internal control which provides reasonable assurance that the
charges
are accurate, allowable, and properly allocated…” Depending on the number and types of activities employees perform,
time and effort documentation can be in the form of semi‐annual certification or monthly
personnel activity reports, such as a timesheet.
Condition: The Association’s controls were not effective to ensure it maintained
adequate time and effort documentation, as required by federal regulations and the grantor.
During review of payroll costs for the year ended December 31, 2021, the following was noted:
• Payroll costs were charged according to budgeted time rather than reconciling to actual hours
worked.
• Two payroll disbursements were not allocated in compliance with the Associations
approved cost allocation plan.
This internal control deficiency is considered to be a significant deficiency.
Questioned Costs: None.
Context: Procedures included examining payroll charges for 40 randomly selected employees
for January through December 2021.
Cause: The Association changed the software used for payroll processing from QuickBooks to MIP in
July 2020. They then changed their fiscal accounting software from QuickBooks to MIP in January
2021. The new software implementation was fraught with many challenges, one of which being
implementing electronic processes that met the time and effort requirements outlined in the
Association’s policy manual.
Effect: By not keeping proper time‐and‐effort records, the Association cannot demonstrate
compliance with grantor’s requirements that require support for payroll costs charged to the
federal program.
The Association provided alternate documentation that demonstrated the payroll costs charged to the
program were allowable. Therefore, we are not questioning costs.
Statistical Sampling: The sample was not intended to be, and was not, a statistically valid sample.
Recommendation: The Association follow its own documented controls to ensure it prepares
adequate time‐ and‐effort documentation to support payroll costs charged to the federal grant.
View of Responsible Officials: There is no disagreement with this audit finding.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Head Start Cluster
Assistance Listing Number: 93.600
Pass‐through Agency: N/A
Contract numbers: 10CH01029405C3
10CH01029406
10CH01204401
10HE00135801C5
10HE00135801C6
Contract periods: 01/2020‐06/2021
01/2021‐06/2021
07/2021‐12/2021
07/2021‐06/2023
07/2021‐06/2023 Criteria: As stated in the U.S. Department of Health and Human Services (HHS) Grants Policy
Statement, grant recipients are required to meet the standards and requirements for financial
management systems set forth or referenced in 45 CFR 74.21 or 92.20, as applicable. Further,
financial systems must enable grant recipients to do the following:
• Provide accurate, current, and complete financial information about Federal awards.
• Maintain records that adequately identify the sources of funds for federally assisted
activities and the purposes for which the award was used.
• Maintain effective control over and accountability for all cash, real and personal
property, and other assets under the award.
• Compare actual expenditures or outlays with the approved budget for the award.
• Determine the allowability of costs in accordance with the applicable federal cost
principles, program regulations, and other regulations cited in the Notice of Award.
• Minimize the time elapsing between any advance payment under the award(s) and disbursement of
the funds for direct program costs and the proportionate share of any allowable
indirect or facilities and administrative costs.
Condition: The Association’s controls were not effective to ensure the financial systems migration
from Intuit QuickBooks Enterprise to MIP Fund Accounting satisfied the requirements for financial
reporting as stipulated by federal regulations and HHS. The initial financial reports provided by
the Association did not provide accurate or complete information about the federal awards
under its management. Further, initial bank reconciliation reports did not provide proof of
effective control over and accountability for cash assets held under the award.
This internal control deficiency is considered to be a material weakness.
Context: Procedures included examining bank reconciliation reports, general ledger detail reports,
and budget vs. actual reports by program and tracing to supporting documentation for a
sample of transactions in each operations cycle (cash receipts, cash disbursements, payroll
disbursements, journal entries).
Cause: The Association changed the software used for maintaining its financial systems from Intuit
QuickBooks Enterprise to MIP Fund Accounting in July 2020, beginning with their payroll processing.
Full implementation of all other operating cycles occurred effective in January 2021. The
system migration did not include adequate vendor support for building a chart of
accounts or custom reporting tools to allow for a level of reporting required to produce
timely and accurate financial statements for federal reporting needs. Further, the beginning
subledgers for accounts receivable and accounts payable, and beginning outstanding reconciling
items for cash accounts, were not properly built into the MIP Fund Accounting system
during the early implementation
process, resulting in the Association having difficulties reconciling their cash accounts.
Effect: By not successfully implementing a financial system as required under federal
and HHS agency regulations, the Association cannot demonstrate compliance with grantor’s
requirements that require accurate, current, and complete financial information regarding the
federal awards under its management.
Recommendation: The Association continue to work internally and with the software vendor
and outside consultants as needed to implement a chart of accounts and custom
reporting tools that will assist them in complying with federal regulations regarding its
financial system.
View of Responsible Officials: There is no disagreement with this audit finding.
Criteria: As stated in the U.S. Department of Health and Human Services (HHS) Grants Policy
Statement, grant recipients are required to implement financial systems that enable grant
recipients to maintain effective control over and accountability for all cash under the award.
Condition: The Association’s controls were not effective to ensure it performed the bank
reconciliation process on an accurate or timely basis.
We consider this internal control deficiency to be a significant deficiency.
Context: Our procedures included examining bank reconciliation reports for the December
2021 period. We reviewed the bank reconciliations for unusual transactions, large
reconciling items, and traced a sample of transactions to supporting documentation such as
copies of cleared checks, bank statements, or other items.
Cause: The Association changed the software used for processing its bank reconciliations from
Intuit QuickBooks Enterprise to MIP Fund Accounting in January 2021. The system migration
did not include entering detailed outstanding reconciling items for cash accounts as of
December 31, 2020, resulting in the Association having difficulties reconciling their
cash accounts on a timely basis. The initial reconciliations included large journal
entries to cash accounts that did not have sufficient documentation as support and
resulted in the bank reconciliations being redone to properly account for outstanding
uncleared items that carried over from the prior fiscal year.
Effect: By not reconciling the bank accounts on a timely basis, the financial reports initially
provided for the audit were not accurate. This resulted in the delay of the audit until
the bank reconciliations could be properly completed to account for outstanding uncleared
items that carried over from the prior fiscal year.
Recommendation: We recommend the Association follow its own documented controls to ensure it
prepares bank reconciliations on a timely and accurate basis.
View of Responsible Officials: There is no disagreement with this audit finding.
Criteria: Accounting principles generally accepted in the United States of America
require that amounts be recognized as revenues, with corresponding receivables if
applicable, when the product or service has been delivered to a customer and when the dollar
amount is readily determinable.
Condition: The Association’s controls were not effective to ensure it was recognizing
revenues and related receivables for reimbursement‐based programming in the same period the
expenditure occurred.
We consider this internal control deficiency to be a significant deficiency.
Context: Our procedures included examining subsequent cash receipts and vouching to
expenditures made during the fiscal year, identifying several such receipts that should
have been posted as receivables as of December 31, 2021 but were not.
Cause: The Association typically records cash receipts on a cash basis instead of accrual basis as
stipulated in U.S. GAAP.
Effect: By not recording receivables in the correct period, revenues from reimbursement‐based
awards could be materially misstated.
Recommendation: We recommend the Association establish controls that allow for the
timely and accurate recording of grants and contracts receivable from reimbursement‐based
awards in the same period as their corresponding expenditures.
View of Responsible Officials: There is no disagreement with this audit finding.
Federal Agency: U.S. Department of Health and Human Services Federal
Program Name: Head Start Cluster
Assistance Listing Number: 93.600
Pass‐through Agency: N/A
Contract numbers: 10CH01029405C3 10CH01029406
10CH01204401
10HE00135801C5
10HE00135801C6
Contract periods: 01/2020‐06/2021 01/2021‐06/2021
07/2021‐12/2021
07/2021‐06/2023
07/2021‐06/2023
Type of Finding: Significant Deficiency in Internal Control Over Compliance ‐ Allowable Costs and
Cost Principles
Criteria: The Association’s procedures for processing expenditures, and primarily
allocating expenditures to programs, should include controls that ensure expenditures are
properly charged to program and allocated in accordance with the federal grant requirements.
The objective of the Assistance Listing 93.600 Head Start program (including Early Head
Start and Early Head Start Partnerships) is to promote school readiness of low‐income
children (including American Indians, Alaska Natives and migrant and seasonal farm workers)
by enhancing children’s cognitive, social and emotional development. During the fiscal year
ending December 31, 2021, the Association expended $4,720,185 in federal funding.
Federal regulations require award recipients to establish and follow internal controls
that ensure compliance with program requirements. These controls include understanding
program requirements and monitoring the effectiveness of established controls.
Federal regulations require the Association to have adequate time‐and‐effort documentation
to support all payroll costs charged to the Head Start awards. 2 CFR 200.430, Compensation –
personal services, states, in part:
“(i) Standards for Documentation of Personnel Expenses
(1) Charges to Federal awards for salaries and wages must be based on records that accurately
reflect the work performed. These records must:
(ii) Be supported by a system of internal control which provides reasonable assurance that the
charges
are accurate, allowable, and properly allocated…” Depending on the number and types of activities employees perform,
time and effort documentation can be in the form of semi‐annual certification or monthly
personnel activity reports, such as a timesheet.
Condition: The Association’s controls were not effective to ensure it maintained
adequate time and effort documentation, as required by federal regulations and the grantor.
During review of payroll costs for the year ended December 31, 2021, the following was noted:
• Payroll costs were charged according to budgeted time rather than reconciling to actual hours
worked.
• Two payroll disbursements were not allocated in compliance with the Associations
approved cost allocation plan.
This internal control deficiency is considered to be a significant deficiency.
Questioned Costs: None.
Context: Procedures included examining payroll charges for 40 randomly selected employees
for January through December 2021.
Cause: The Association changed the software used for payroll processing from QuickBooks to MIP in
July 2020. They then changed their fiscal accounting software from QuickBooks to MIP in January
2021. The new software implementation was fraught with many challenges, one of which being
implementing electronic processes that met the time and effort requirements outlined in the
Association’s policy manual.
Effect: By not keeping proper time‐and‐effort records, the Association cannot demonstrate
compliance with grantor’s requirements that require support for payroll costs charged to the
federal program.
The Association provided alternate documentation that demonstrated the payroll costs charged to the
program were allowable. Therefore, we are not questioning costs.
Statistical Sampling: The sample was not intended to be, and was not, a statistically valid sample.
Recommendation: The Association follow its own documented controls to ensure it prepares
adequate time‐ and‐effort documentation to support payroll costs charged to the federal grant.
View of Responsible Officials: There is no disagreement with this audit finding.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Head Start Cluster
Assistance Listing Number: 93.600
Pass‐through Agency: N/A
Contract numbers: 10CH01029405C3
10CH01029406
10CH01204401
10HE00135801C5
10HE00135801C6
Contract periods: 01/2020‐06/2021
01/2021‐06/2021
07/2021‐12/2021
07/2021‐06/2023
07/2021‐06/2023 Criteria: As stated in the U.S. Department of Health and Human Services (HHS) Grants Policy
Statement, grant recipients are required to meet the standards and requirements for financial
management systems set forth or referenced in 45 CFR 74.21 or 92.20, as applicable. Further,
financial systems must enable grant recipients to do the following:
• Provide accurate, current, and complete financial information about Federal awards.
• Maintain records that adequately identify the sources of funds for federally assisted
activities and the purposes for which the award was used.
• Maintain effective control over and accountability for all cash, real and personal
property, and other assets under the award.
• Compare actual expenditures or outlays with the approved budget for the award.
• Determine the allowability of costs in accordance with the applicable federal cost
principles, program regulations, and other regulations cited in the Notice of Award.
• Minimize the time elapsing between any advance payment under the award(s) and disbursement of
the funds for direct program costs and the proportionate share of any allowable
indirect or facilities and administrative costs.
Condition: The Association’s controls were not effective to ensure the financial systems migration
from Intuit QuickBooks Enterprise to MIP Fund Accounting satisfied the requirements for financial
reporting as stipulated by federal regulations and HHS. The initial financial reports provided by
the Association did not provide accurate or complete information about the federal awards
under its management. Further, initial bank reconciliation reports did not provide proof of
effective control over and accountability for cash assets held under the award.
This internal control deficiency is considered to be a material weakness.
Context: Procedures included examining bank reconciliation reports, general ledger detail reports,
and budget vs. actual reports by program and tracing to supporting documentation for a
sample of transactions in each operations cycle (cash receipts, cash disbursements, payroll
disbursements, journal entries).
Cause: The Association changed the software used for maintaining its financial systems from Intuit
QuickBooks Enterprise to MIP Fund Accounting in July 2020, beginning with their payroll processing.
Full implementation of all other operating cycles occurred effective in January 2021. The
system migration did not include adequate vendor support for building a chart of
accounts or custom reporting tools to allow for a level of reporting required to produce
timely and accurate financial statements for federal reporting needs. Further, the beginning
subledgers for accounts receivable and accounts payable, and beginning outstanding reconciling
items for cash accounts, were not properly built into the MIP Fund Accounting system
during the early implementation
process, resulting in the Association having difficulties reconciling their cash accounts.
Effect: By not successfully implementing a financial system as required under federal
and HHS agency regulations, the Association cannot demonstrate compliance with grantor’s
requirements that require accurate, current, and complete financial information regarding the
federal awards under its management.
Recommendation: The Association continue to work internally and with the software vendor
and outside consultants as needed to implement a chart of accounts and custom
reporting tools that will assist them in complying with federal regulations regarding its
financial system.
View of Responsible Officials: There is no disagreement with this audit finding.
Criteria: As stated in the U.S. Department of Health and Human Services (HHS) Grants Policy
Statement, grant recipients are required to implement financial systems that enable grant
recipients to maintain effective control over and accountability for all cash under the award.
Condition: The Association’s controls were not effective to ensure it performed the bank
reconciliation process on an accurate or timely basis.
We consider this internal control deficiency to be a significant deficiency.
Context: Our procedures included examining bank reconciliation reports for the December
2021 period. We reviewed the bank reconciliations for unusual transactions, large
reconciling items, and traced a sample of transactions to supporting documentation such as
copies of cleared checks, bank statements, or other items.
Cause: The Association changed the software used for processing its bank reconciliations from
Intuit QuickBooks Enterprise to MIP Fund Accounting in January 2021. The system migration
did not include entering detailed outstanding reconciling items for cash accounts as of
December 31, 2020, resulting in the Association having difficulties reconciling their
cash accounts on a timely basis. The initial reconciliations included large journal
entries to cash accounts that did not have sufficient documentation as support and
resulted in the bank reconciliations being redone to properly account for outstanding
uncleared items that carried over from the prior fiscal year.
Effect: By not reconciling the bank accounts on a timely basis, the financial reports initially
provided for the audit were not accurate. This resulted in the delay of the audit until
the bank reconciliations could be properly completed to account for outstanding uncleared
items that carried over from the prior fiscal year.
Recommendation: We recommend the Association follow its own documented controls to ensure it
prepares bank reconciliations on a timely and accurate basis.
View of Responsible Officials: There is no disagreement with this audit finding.
Criteria: Accounting principles generally accepted in the United States of America
require that amounts be recognized as revenues, with corresponding receivables if
applicable, when the product or service has been delivered to a customer and when the dollar
amount is readily determinable.
Condition: The Association’s controls were not effective to ensure it was recognizing
revenues and related receivables for reimbursement‐based programming in the same period the
expenditure occurred.
We consider this internal control deficiency to be a significant deficiency.
Context: Our procedures included examining subsequent cash receipts and vouching to
expenditures made during the fiscal year, identifying several such receipts that should
have been posted as receivables as of December 31, 2021 but were not.
Cause: The Association typically records cash receipts on a cash basis instead of accrual basis as
stipulated in U.S. GAAP.
Effect: By not recording receivables in the correct period, revenues from reimbursement‐based
awards could be materially misstated.
Recommendation: We recommend the Association establish controls that allow for the
timely and accurate recording of grants and contracts receivable from reimbursement‐based
awards in the same period as their corresponding expenditures.
View of Responsible Officials: There is no disagreement with this audit finding.
Federal Agency: U.S. Department of Health and Human Services Federal
Program Name: Head Start Cluster
Assistance Listing Number: 93.600
Pass‐through Agency: N/A
Contract numbers: 10CH01029405C3 10CH01029406
10CH01204401
10HE00135801C5
10HE00135801C6
Contract periods: 01/2020‐06/2021 01/2021‐06/2021
07/2021‐12/2021
07/2021‐06/2023
07/2021‐06/2023
Type of Finding: Significant Deficiency in Internal Control Over Compliance ‐ Allowable Costs and
Cost Principles
Criteria: The Association’s procedures for processing expenditures, and primarily
allocating expenditures to programs, should include controls that ensure expenditures are
properly charged to program and allocated in accordance with the federal grant requirements.
The objective of the Assistance Listing 93.600 Head Start program (including Early Head
Start and Early Head Start Partnerships) is to promote school readiness of low‐income
children (including American Indians, Alaska Natives and migrant and seasonal farm workers)
by enhancing children’s cognitive, social and emotional development. During the fiscal year
ending December 31, 2021, the Association expended $4,720,185 in federal funding.
Federal regulations require award recipients to establish and follow internal controls
that ensure compliance with program requirements. These controls include understanding
program requirements and monitoring the effectiveness of established controls.
Federal regulations require the Association to have adequate time‐and‐effort documentation
to support all payroll costs charged to the Head Start awards. 2 CFR 200.430, Compensation –
personal services, states, in part:
“(i) Standards for Documentation of Personnel Expenses
(1) Charges to Federal awards for salaries and wages must be based on records that accurately
reflect the work performed. These records must:
(ii) Be supported by a system of internal control which provides reasonable assurance that the
charges
are accurate, allowable, and properly allocated…” Depending on the number and types of activities employees perform,
time and effort documentation can be in the form of semi‐annual certification or monthly
personnel activity reports, such as a timesheet.
Condition: The Association’s controls were not effective to ensure it maintained
adequate time and effort documentation, as required by federal regulations and the grantor.
During review of payroll costs for the year ended December 31, 2021, the following was noted:
• Payroll costs were charged according to budgeted time rather than reconciling to actual hours
worked.
• Two payroll disbursements were not allocated in compliance with the Associations
approved cost allocation plan.
This internal control deficiency is considered to be a significant deficiency.
Questioned Costs: None.
Context: Procedures included examining payroll charges for 40 randomly selected employees
for January through December 2021.
Cause: The Association changed the software used for payroll processing from QuickBooks to MIP in
July 2020. They then changed their fiscal accounting software from QuickBooks to MIP in January
2021. The new software implementation was fraught with many challenges, one of which being
implementing electronic processes that met the time and effort requirements outlined in the
Association’s policy manual.
Effect: By not keeping proper time‐and‐effort records, the Association cannot demonstrate
compliance with grantor’s requirements that require support for payroll costs charged to the
federal program.
The Association provided alternate documentation that demonstrated the payroll costs charged to the
program were allowable. Therefore, we are not questioning costs.
Statistical Sampling: The sample was not intended to be, and was not, a statistically valid sample.
Recommendation: The Association follow its own documented controls to ensure it prepares
adequate time‐ and‐effort documentation to support payroll costs charged to the federal grant.
View of Responsible Officials: There is no disagreement with this audit finding.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Head Start Cluster
Assistance Listing Number: 93.600
Pass‐through Agency: N/A
Contract numbers: 10CH01029405C3
10CH01029406
10CH01204401
10HE00135801C5
10HE00135801C6
Contract periods: 01/2020‐06/2021
01/2021‐06/2021
07/2021‐12/2021
07/2021‐06/2023
07/2021‐06/2023 Criteria: As stated in the U.S. Department of Health and Human Services (HHS) Grants Policy
Statement, grant recipients are required to meet the standards and requirements for financial
management systems set forth or referenced in 45 CFR 74.21 or 92.20, as applicable. Further,
financial systems must enable grant recipients to do the following:
• Provide accurate, current, and complete financial information about Federal awards.
• Maintain records that adequately identify the sources of funds for federally assisted
activities and the purposes for which the award was used.
• Maintain effective control over and accountability for all cash, real and personal
property, and other assets under the award.
• Compare actual expenditures or outlays with the approved budget for the award.
• Determine the allowability of costs in accordance with the applicable federal cost
principles, program regulations, and other regulations cited in the Notice of Award.
• Minimize the time elapsing between any advance payment under the award(s) and disbursement of
the funds for direct program costs and the proportionate share of any allowable
indirect or facilities and administrative costs.
Condition: The Association’s controls were not effective to ensure the financial systems migration
from Intuit QuickBooks Enterprise to MIP Fund Accounting satisfied the requirements for financial
reporting as stipulated by federal regulations and HHS. The initial financial reports provided by
the Association did not provide accurate or complete information about the federal awards
under its management. Further, initial bank reconciliation reports did not provide proof of
effective control over and accountability for cash assets held under the award.
This internal control deficiency is considered to be a material weakness.
Context: Procedures included examining bank reconciliation reports, general ledger detail reports,
and budget vs. actual reports by program and tracing to supporting documentation for a
sample of transactions in each operations cycle (cash receipts, cash disbursements, payroll
disbursements, journal entries).
Cause: The Association changed the software used for maintaining its financial systems from Intuit
QuickBooks Enterprise to MIP Fund Accounting in July 2020, beginning with their payroll processing.
Full implementation of all other operating cycles occurred effective in January 2021. The
system migration did not include adequate vendor support for building a chart of
accounts or custom reporting tools to allow for a level of reporting required to produce
timely and accurate financial statements for federal reporting needs. Further, the beginning
subledgers for accounts receivable and accounts payable, and beginning outstanding reconciling
items for cash accounts, were not properly built into the MIP Fund Accounting system
during the early implementation
process, resulting in the Association having difficulties reconciling their cash accounts.
Effect: By not successfully implementing a financial system as required under federal
and HHS agency regulations, the Association cannot demonstrate compliance with grantor’s
requirements that require accurate, current, and complete financial information regarding the
federal awards under its management.
Recommendation: The Association continue to work internally and with the software vendor
and outside consultants as needed to implement a chart of accounts and custom
reporting tools that will assist them in complying with federal regulations regarding its
financial system.
View of Responsible Officials: There is no disagreement with this audit finding.
Criteria: As stated in the U.S. Department of Health and Human Services (HHS) Grants Policy
Statement, grant recipients are required to implement financial systems that enable grant
recipients to maintain effective control over and accountability for all cash under the award.
Condition: The Association’s controls were not effective to ensure it performed the bank
reconciliation process on an accurate or timely basis.
We consider this internal control deficiency to be a significant deficiency.
Context: Our procedures included examining bank reconciliation reports for the December
2021 period. We reviewed the bank reconciliations for unusual transactions, large
reconciling items, and traced a sample of transactions to supporting documentation such as
copies of cleared checks, bank statements, or other items.
Cause: The Association changed the software used for processing its bank reconciliations from
Intuit QuickBooks Enterprise to MIP Fund Accounting in January 2021. The system migration
did not include entering detailed outstanding reconciling items for cash accounts as of
December 31, 2020, resulting in the Association having difficulties reconciling their
cash accounts on a timely basis. The initial reconciliations included large journal
entries to cash accounts that did not have sufficient documentation as support and
resulted in the bank reconciliations being redone to properly account for outstanding
uncleared items that carried over from the prior fiscal year.
Effect: By not reconciling the bank accounts on a timely basis, the financial reports initially
provided for the audit were not accurate. This resulted in the delay of the audit until
the bank reconciliations could be properly completed to account for outstanding uncleared
items that carried over from the prior fiscal year.
Recommendation: We recommend the Association follow its own documented controls to ensure it
prepares bank reconciliations on a timely and accurate basis.
View of Responsible Officials: There is no disagreement with this audit finding.
Criteria: Accounting principles generally accepted in the United States of America
require that amounts be recognized as revenues, with corresponding receivables if
applicable, when the product or service has been delivered to a customer and when the dollar
amount is readily determinable.
Condition: The Association’s controls were not effective to ensure it was recognizing
revenues and related receivables for reimbursement‐based programming in the same period the
expenditure occurred.
We consider this internal control deficiency to be a significant deficiency.
Context: Our procedures included examining subsequent cash receipts and vouching to
expenditures made during the fiscal year, identifying several such receipts that should
have been posted as receivables as of December 31, 2021 but were not.
Cause: The Association typically records cash receipts on a cash basis instead of accrual basis as
stipulated in U.S. GAAP.
Effect: By not recording receivables in the correct period, revenues from reimbursement‐based
awards could be materially misstated.
Recommendation: We recommend the Association establish controls that allow for the
timely and accurate recording of grants and contracts receivable from reimbursement‐based
awards in the same period as their corresponding expenditures.
View of Responsible Officials: There is no disagreement with this audit finding.
Federal Agency: U.S. Department of Health and Human Services Federal
Program Name: Head Start Cluster
Assistance Listing Number: 93.600
Pass‐through Agency: N/A
Contract numbers: 10CH01029405C3 10CH01029406
10CH01204401
10HE00135801C5
10HE00135801C6
Contract periods: 01/2020‐06/2021 01/2021‐06/2021
07/2021‐12/2021
07/2021‐06/2023
07/2021‐06/2023
Type of Finding: Significant Deficiency in Internal Control Over Compliance ‐ Allowable Costs and
Cost Principles
Criteria: The Association’s procedures for processing expenditures, and primarily
allocating expenditures to programs, should include controls that ensure expenditures are
properly charged to program and allocated in accordance with the federal grant requirements.
The objective of the Assistance Listing 93.600 Head Start program (including Early Head
Start and Early Head Start Partnerships) is to promote school readiness of low‐income
children (including American Indians, Alaska Natives and migrant and seasonal farm workers)
by enhancing children’s cognitive, social and emotional development. During the fiscal year
ending December 31, 2021, the Association expended $4,720,185 in federal funding.
Federal regulations require award recipients to establish and follow internal controls
that ensure compliance with program requirements. These controls include understanding
program requirements and monitoring the effectiveness of established controls.
Federal regulations require the Association to have adequate time‐and‐effort documentation
to support all payroll costs charged to the Head Start awards. 2 CFR 200.430, Compensation –
personal services, states, in part:
“(i) Standards for Documentation of Personnel Expenses
(1) Charges to Federal awards for salaries and wages must be based on records that accurately
reflect the work performed. These records must:
(ii) Be supported by a system of internal control which provides reasonable assurance that the
charges
are accurate, allowable, and properly allocated…” Depending on the number and types of activities employees perform,
time and effort documentation can be in the form of semi‐annual certification or monthly
personnel activity reports, such as a timesheet.
Condition: The Association’s controls were not effective to ensure it maintained
adequate time and effort documentation, as required by federal regulations and the grantor.
During review of payroll costs for the year ended December 31, 2021, the following was noted:
• Payroll costs were charged according to budgeted time rather than reconciling to actual hours
worked.
• Two payroll disbursements were not allocated in compliance with the Associations
approved cost allocation plan.
This internal control deficiency is considered to be a significant deficiency.
Questioned Costs: None.
Context: Procedures included examining payroll charges for 40 randomly selected employees
for January through December 2021.
Cause: The Association changed the software used for payroll processing from QuickBooks to MIP in
July 2020. They then changed their fiscal accounting software from QuickBooks to MIP in January
2021. The new software implementation was fraught with many challenges, one of which being
implementing electronic processes that met the time and effort requirements outlined in the
Association’s policy manual.
Effect: By not keeping proper time‐and‐effort records, the Association cannot demonstrate
compliance with grantor’s requirements that require support for payroll costs charged to the
federal program.
The Association provided alternate documentation that demonstrated the payroll costs charged to the
program were allowable. Therefore, we are not questioning costs.
Statistical Sampling: The sample was not intended to be, and was not, a statistically valid sample.
Recommendation: The Association follow its own documented controls to ensure it prepares
adequate time‐ and‐effort documentation to support payroll costs charged to the federal grant.
View of Responsible Officials: There is no disagreement with this audit finding.