Audit 305605

FY End
2022-12-31
Total Expended
$2.87M
Findings
12
Programs
6
Year: 2022 Accepted: 2024-05-06

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
395979 2022-007 Material Weakness - B
395980 2022-007 Material Weakness - B
395981 2022-007 Material Weakness - B
395982 2022-008 Significant Deficiency - E
395983 2022-008 Significant Deficiency - E
395984 2022-008 Significant Deficiency - E
972421 2022-007 Material Weakness - B
972422 2022-007 Material Weakness - B
972423 2022-007 Material Weakness - B
972424 2022-008 Significant Deficiency - E
972425 2022-008 Significant Deficiency - E
972426 2022-008 Significant Deficiency - E

Contacts

Name Title Type
KTV2FNPR2BR7 Penny Stuck Auditee
6613274030 Larisa Murren Auditor
No contacts on file

Notes to SEFA

Title: NOTE 1 – GENERAL Accounting Policies: NOTE 1 – GENERAL The accompanying Schedule of Expenditures of Federal Awards (SEFA) presents the activity of all federal award programs of Bakersfield American Indian Health Project (BAIHP). Federal awards received directly from federal agencies, as well as federal awards passed through other government agencies are included in the Schedule. The information in this SEFA is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). NOTE 2 – BASIS OF ACCOUNTING The accompanying SEFA is presented using the accrual basis of accounting, which is described in Note 2 of BAIHP’s financial statements. De Minimis Rate Used: N Rate Explanation: NOTE 3 – INDIRECT COST RATE BAIHP has elected not to use the 10% de minimis indirect cost rate as allowed under Uniform Guidance. The accompanying Schedule of Expenditures of Federal Awards (SEFA) presents the activity of all federal award programs of Bakersfield American Indian Health Project (BAIHP). Federal awards received directly from federal agencies, as well as federal awards passed through other government agencies are included in the Schedule. The information in this SEFA is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance).
Title: NOTE 2 – BASIS OF ACCOUNTING Accounting Policies: NOTE 1 – GENERAL The accompanying Schedule of Expenditures of Federal Awards (SEFA) presents the activity of all federal award programs of Bakersfield American Indian Health Project (BAIHP). Federal awards received directly from federal agencies, as well as federal awards passed through other government agencies are included in the Schedule. The information in this SEFA is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). NOTE 2 – BASIS OF ACCOUNTING The accompanying SEFA is presented using the accrual basis of accounting, which is described in Note 2 of BAIHP’s financial statements. De Minimis Rate Used: N Rate Explanation: NOTE 3 – INDIRECT COST RATE BAIHP has elected not to use the 10% de minimis indirect cost rate as allowed under Uniform Guidance. The accompanying SEFA is presented using the accrual basis of accounting, which is described in Note 2 of BAIHP’s financial statements.
Title: NOTE 3 – INDIRECT COST RATE Accounting Policies: NOTE 1 – GENERAL The accompanying Schedule of Expenditures of Federal Awards (SEFA) presents the activity of all federal award programs of Bakersfield American Indian Health Project (BAIHP). Federal awards received directly from federal agencies, as well as federal awards passed through other government agencies are included in the Schedule. The information in this SEFA is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). NOTE 2 – BASIS OF ACCOUNTING The accompanying SEFA is presented using the accrual basis of accounting, which is described in Note 2 of BAIHP’s financial statements. De Minimis Rate Used: N Rate Explanation: NOTE 3 – INDIRECT COST RATE BAIHP has elected not to use the 10% de minimis indirect cost rate as allowed under Uniform Guidance. BAIHP has elected not to use the 10% de minimis indirect cost rate as allowed under Uniform Guidance.
Title: NOTE 4 – RELATIONSHIP TO FINANCIAL STATEMENTS Accounting Policies: NOTE 1 – GENERAL The accompanying Schedule of Expenditures of Federal Awards (SEFA) presents the activity of all federal award programs of Bakersfield American Indian Health Project (BAIHP). Federal awards received directly from federal agencies, as well as federal awards passed through other government agencies are included in the Schedule. The information in this SEFA is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). NOTE 2 – BASIS OF ACCOUNTING The accompanying SEFA is presented using the accrual basis of accounting, which is described in Note 2 of BAIHP’s financial statements. De Minimis Rate Used: N Rate Explanation: NOTE 3 – INDIRECT COST RATE BAIHP has elected not to use the 10% de minimis indirect cost rate as allowed under Uniform Guidance. Federal award expenditures agree or can be reconciled with the amounts reported in BAIHP’s financial statements.

Finding Details

Condition: During our review of compliance over reporting, we found that the December 31, 2022 monthly invoices were not timely completed. In addition, the reports included indirect costs that did not have adequate support and therefore deemed unallowable in nature and excluded from the expenses reflected in the SEFA. Criteria: Federal financial report submissions are required within a specific time frame as imposed by the grantor. There are mechanisms in place to identify risks of faulty reporting caused by such items as lack of current knowledge of, inconsistent application of, or carelessness or disregard for standards and reporting requirements of Federal awards. A supervisory review of reports is performed to assure accuracy and completeness of data and information included in the reports. Cause: Internal controls over reporting compliance requirements were not properly designed and were not placed in operation. Management is responsible for compliance with requirements over Reporting and for the design, implementation, and maintenance of effective internal controls over compliance with the requirements of laws, statutes, regulations, rules, and provisions of grant agreements applicable to its federal program. Effect: As a result of this condition, the December 31, 2022 monthly invoices were not timely completed and submitted to the appropriate funding agency. Recommendation: We recommend BAIHP develop a policies and procedures manual for reporting compliance, which should include a checklist detailing all the necessary steps to ensure a proper submission of year-end invoices.
Condition: During our review of compliance over reporting, we found that the December 31, 2022 monthly invoices were not timely completed. In addition, the reports included indirect costs that did not have adequate support and therefore deemed unallowable in nature and excluded from the expenses reflected in the SEFA. Criteria: Federal financial report submissions are required within a specific time frame as imposed by the grantor. There are mechanisms in place to identify risks of faulty reporting caused by such items as lack of current knowledge of, inconsistent application of, or carelessness or disregard for standards and reporting requirements of Federal awards. A supervisory review of reports is performed to assure accuracy and completeness of data and information included in the reports. Cause: Internal controls over reporting compliance requirements were not properly designed and were not placed in operation. Management is responsible for compliance with requirements over Reporting and for the design, implementation, and maintenance of effective internal controls over compliance with the requirements of laws, statutes, regulations, rules, and provisions of grant agreements applicable to its federal program. Effect: As a result of this condition, the December 31, 2022 monthly invoices were not timely completed and submitted to the appropriate funding agency. Recommendation: We recommend BAIHP develop a policies and procedures manual for reporting compliance, which should include a checklist detailing all the necessary steps to ensure a proper submission of year-end invoices.
Condition: During our review of compliance over reporting, we found that the December 31, 2022 monthly invoices were not timely completed. In addition, the reports included indirect costs that did not have adequate support and therefore deemed unallowable in nature and excluded from the expenses reflected in the SEFA. Criteria: Federal financial report submissions are required within a specific time frame as imposed by the grantor. There are mechanisms in place to identify risks of faulty reporting caused by such items as lack of current knowledge of, inconsistent application of, or carelessness or disregard for standards and reporting requirements of Federal awards. A supervisory review of reports is performed to assure accuracy and completeness of data and information included in the reports. Cause: Internal controls over reporting compliance requirements were not properly designed and were not placed in operation. Management is responsible for compliance with requirements over Reporting and for the design, implementation, and maintenance of effective internal controls over compliance with the requirements of laws, statutes, regulations, rules, and provisions of grant agreements applicable to its federal program. Effect: As a result of this condition, the December 31, 2022 monthly invoices were not timely completed and submitted to the appropriate funding agency. Recommendation: We recommend BAIHP develop a policies and procedures manual for reporting compliance, which should include a checklist detailing all the necessary steps to ensure a proper submission of year-end invoices.
Condition: During our review of compliance over eligibility, we identified one ineligible patient related to eligibility testing due to missing documentation to support eligibility determination. Criteria: Eligibility Control Activities including written policies to provide direction for making and documenting eligibility determinations, procedures to calculate eligibility amounts are consistent with program requirements, and a process for periodic eligibility re-determinations in accordance with program requirements are required to ensure only eligible individuals are receiving assistance using federal funding. Cause: Internal controls over eligibility compliance requirements were not properly designed and were not placed in operation. Management is responsible for compliance with requirements over Eligibility and for the design, implementation, and maintenance of effective internal controls over compliance with the requirements of laws, statutes, regulations, rules, and provisions of grant agreements applicable to its federal program. Effect: As a result of this condition, patient medical records include missing information regarding patient’s eligibility to receive medical assistance using federal funding. Recommendation: We recommend BAIHP implement a checklist detailing what documentation is required and what must be retained when determining a patient is eligible for benefits under the program and should include a secondary review of the patient file by someone other than the preparer.
Condition: During our review of compliance over eligibility, we identified one ineligible patient related to eligibility testing due to missing documentation to support eligibility determination. Criteria: Eligibility Control Activities including written policies to provide direction for making and documenting eligibility determinations, procedures to calculate eligibility amounts are consistent with program requirements, and a process for periodic eligibility re-determinations in accordance with program requirements are required to ensure only eligible individuals are receiving assistance using federal funding. Cause: Internal controls over eligibility compliance requirements were not properly designed and were not placed in operation. Management is responsible for compliance with requirements over Eligibility and for the design, implementation, and maintenance of effective internal controls over compliance with the requirements of laws, statutes, regulations, rules, and provisions of grant agreements applicable to its federal program. Effect: As a result of this condition, patient medical records include missing information regarding patient’s eligibility to receive medical assistance using federal funding. Recommendation: We recommend BAIHP implement a checklist detailing what documentation is required and what must be retained when determining a patient is eligible for benefits under the program and should include a secondary review of the patient file by someone other than the preparer.
Condition: During our review of compliance over eligibility, we identified one ineligible patient related to eligibility testing due to missing documentation to support eligibility determination. Criteria: Eligibility Control Activities including written policies to provide direction for making and documenting eligibility determinations, procedures to calculate eligibility amounts are consistent with program requirements, and a process for periodic eligibility re-determinations in accordance with program requirements are required to ensure only eligible individuals are receiving assistance using federal funding. Cause: Internal controls over eligibility compliance requirements were not properly designed and were not placed in operation. Management is responsible for compliance with requirements over Eligibility and for the design, implementation, and maintenance of effective internal controls over compliance with the requirements of laws, statutes, regulations, rules, and provisions of grant agreements applicable to its federal program. Effect: As a result of this condition, patient medical records include missing information regarding patient’s eligibility to receive medical assistance using federal funding. Recommendation: We recommend BAIHP implement a checklist detailing what documentation is required and what must be retained when determining a patient is eligible for benefits under the program and should include a secondary review of the patient file by someone other than the preparer.
Condition: During our review of compliance over reporting, we found that the December 31, 2022 monthly invoices were not timely completed. In addition, the reports included indirect costs that did not have adequate support and therefore deemed unallowable in nature and excluded from the expenses reflected in the SEFA. Criteria: Federal financial report submissions are required within a specific time frame as imposed by the grantor. There are mechanisms in place to identify risks of faulty reporting caused by such items as lack of current knowledge of, inconsistent application of, or carelessness or disregard for standards and reporting requirements of Federal awards. A supervisory review of reports is performed to assure accuracy and completeness of data and information included in the reports. Cause: Internal controls over reporting compliance requirements were not properly designed and were not placed in operation. Management is responsible for compliance with requirements over Reporting and for the design, implementation, and maintenance of effective internal controls over compliance with the requirements of laws, statutes, regulations, rules, and provisions of grant agreements applicable to its federal program. Effect: As a result of this condition, the December 31, 2022 monthly invoices were not timely completed and submitted to the appropriate funding agency. Recommendation: We recommend BAIHP develop a policies and procedures manual for reporting compliance, which should include a checklist detailing all the necessary steps to ensure a proper submission of year-end invoices.
Condition: During our review of compliance over reporting, we found that the December 31, 2022 monthly invoices were not timely completed. In addition, the reports included indirect costs that did not have adequate support and therefore deemed unallowable in nature and excluded from the expenses reflected in the SEFA. Criteria: Federal financial report submissions are required within a specific time frame as imposed by the grantor. There are mechanisms in place to identify risks of faulty reporting caused by such items as lack of current knowledge of, inconsistent application of, or carelessness or disregard for standards and reporting requirements of Federal awards. A supervisory review of reports is performed to assure accuracy and completeness of data and information included in the reports. Cause: Internal controls over reporting compliance requirements were not properly designed and were not placed in operation. Management is responsible for compliance with requirements over Reporting and for the design, implementation, and maintenance of effective internal controls over compliance with the requirements of laws, statutes, regulations, rules, and provisions of grant agreements applicable to its federal program. Effect: As a result of this condition, the December 31, 2022 monthly invoices were not timely completed and submitted to the appropriate funding agency. Recommendation: We recommend BAIHP develop a policies and procedures manual for reporting compliance, which should include a checklist detailing all the necessary steps to ensure a proper submission of year-end invoices.
Condition: During our review of compliance over reporting, we found that the December 31, 2022 monthly invoices were not timely completed. In addition, the reports included indirect costs that did not have adequate support and therefore deemed unallowable in nature and excluded from the expenses reflected in the SEFA. Criteria: Federal financial report submissions are required within a specific time frame as imposed by the grantor. There are mechanisms in place to identify risks of faulty reporting caused by such items as lack of current knowledge of, inconsistent application of, or carelessness or disregard for standards and reporting requirements of Federal awards. A supervisory review of reports is performed to assure accuracy and completeness of data and information included in the reports. Cause: Internal controls over reporting compliance requirements were not properly designed and were not placed in operation. Management is responsible for compliance with requirements over Reporting and for the design, implementation, and maintenance of effective internal controls over compliance with the requirements of laws, statutes, regulations, rules, and provisions of grant agreements applicable to its federal program. Effect: As a result of this condition, the December 31, 2022 monthly invoices were not timely completed and submitted to the appropriate funding agency. Recommendation: We recommend BAIHP develop a policies and procedures manual for reporting compliance, which should include a checklist detailing all the necessary steps to ensure a proper submission of year-end invoices.
Condition: During our review of compliance over eligibility, we identified one ineligible patient related to eligibility testing due to missing documentation to support eligibility determination. Criteria: Eligibility Control Activities including written policies to provide direction for making and documenting eligibility determinations, procedures to calculate eligibility amounts are consistent with program requirements, and a process for periodic eligibility re-determinations in accordance with program requirements are required to ensure only eligible individuals are receiving assistance using federal funding. Cause: Internal controls over eligibility compliance requirements were not properly designed and were not placed in operation. Management is responsible for compliance with requirements over Eligibility and for the design, implementation, and maintenance of effective internal controls over compliance with the requirements of laws, statutes, regulations, rules, and provisions of grant agreements applicable to its federal program. Effect: As a result of this condition, patient medical records include missing information regarding patient’s eligibility to receive medical assistance using federal funding. Recommendation: We recommend BAIHP implement a checklist detailing what documentation is required and what must be retained when determining a patient is eligible for benefits under the program and should include a secondary review of the patient file by someone other than the preparer.
Condition: During our review of compliance over eligibility, we identified one ineligible patient related to eligibility testing due to missing documentation to support eligibility determination. Criteria: Eligibility Control Activities including written policies to provide direction for making and documenting eligibility determinations, procedures to calculate eligibility amounts are consistent with program requirements, and a process for periodic eligibility re-determinations in accordance with program requirements are required to ensure only eligible individuals are receiving assistance using federal funding. Cause: Internal controls over eligibility compliance requirements were not properly designed and were not placed in operation. Management is responsible for compliance with requirements over Eligibility and for the design, implementation, and maintenance of effective internal controls over compliance with the requirements of laws, statutes, regulations, rules, and provisions of grant agreements applicable to its federal program. Effect: As a result of this condition, patient medical records include missing information regarding patient’s eligibility to receive medical assistance using federal funding. Recommendation: We recommend BAIHP implement a checklist detailing what documentation is required and what must be retained when determining a patient is eligible for benefits under the program and should include a secondary review of the patient file by someone other than the preparer.
Condition: During our review of compliance over eligibility, we identified one ineligible patient related to eligibility testing due to missing documentation to support eligibility determination. Criteria: Eligibility Control Activities including written policies to provide direction for making and documenting eligibility determinations, procedures to calculate eligibility amounts are consistent with program requirements, and a process for periodic eligibility re-determinations in accordance with program requirements are required to ensure only eligible individuals are receiving assistance using federal funding. Cause: Internal controls over eligibility compliance requirements were not properly designed and were not placed in operation. Management is responsible for compliance with requirements over Eligibility and for the design, implementation, and maintenance of effective internal controls over compliance with the requirements of laws, statutes, regulations, rules, and provisions of grant agreements applicable to its federal program. Effect: As a result of this condition, patient medical records include missing information regarding patient’s eligibility to receive medical assistance using federal funding. Recommendation: We recommend BAIHP implement a checklist detailing what documentation is required and what must be retained when determining a patient is eligible for benefits under the program and should include a secondary review of the patient file by someone other than the preparer.