FAC Explorer

Audit 31462

FY End
2022-12-31
Total Expended
$10.85M
Findings
6
Programs
13
Organization: Centro De Salud Familiar La Fe, INC (TX)
Year: 2022 Accepted: 2023-09-28
Auditor: Forvis LLP

Organization Exclusion Status:

Findings

ID Ref Severity Repeat Requirement
31563 2022-002 Significant Deficiency - N
31564 2022-002 Significant Deficiency - N
31565 2022-002 Significant Deficiency - N
608005 2022-002 Significant Deficiency - N
608006 2022-002 Significant Deficiency - N
608007 2022-002 Significant Deficiency - N

Programs

ALN Program Spent Major Findings
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $4.81M Yes 1
93.224 Covid-19 - Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $1.89M Yes 1
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $1.48M Yes 1
93.918 Ryan White Capacity Grant $853,300 - 0
32.006 Covid-19 Telehealth Program $703,990 - 0
93.917 Hiv Care Formula Grants $379,113 - 0
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $302,965 - 0
93.185 Immunization Research, Demonstration, Public Information and Education_training and Clinical Skills Improvement Projects $101,372 - 0
93.493 Congressional Directives $79,688 - 0
93.526 Covid-19 - Affordable Care Act (aca) Grants for Capital Development in Health Centers $78,606 - 0
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $29,415 - 0
93.917 Covid-19 - Hiv Care Formula Grants $18,080 - 0
94.016 Senior Companion Program $7,106 - 0

Contacts

Name Title Type
QNCPNDBX3G49 Lucy Rodarte Auditee
9155347979 Jeffrey Allen Auditor
No contacts on file

Notes to SEFA

Title: Note 1: Basis of Presentation Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited to reimbursement. Negative amounts shown on the Schedule, if any, represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. Centro De Salud Familiar La Fe, Inc. has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: NOTE 3: Centro De Salud Familiar La Fe, Inc. has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal award activity of Centro De Salud Familiar La Fe, Inc. under programs of the federal government for the year ended December 31, 2022. The information in this Schedule 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). Because the Schedule presents only a selected portion of the operations of Centro De Salud Familiar La Fe, Inc., it is not intended to and does not present the financial position, results of operations, changes in net assets, or cash flows of Centro De Salud Familiar La Fe, Inc.
Title: Note 4: Federal Loan Program Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited to reimbursement. Negative amounts shown on the Schedule, if any, represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. Centro De Salud Familiar La Fe, Inc. has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: NOTE 3: Centro De Salud Familiar La Fe, Inc. has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. Centro De Salud Familiar La Fe, Inc. did not have any federal loan programs during the year ended December 31, 2022.
Title: Note 5: Personal Protective Equipment (PPE) (Unaudited) Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited to reimbursement. Negative amounts shown on the Schedule, if any, represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. Centro De Salud Familiar La Fe, Inc. has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: NOTE 3: Centro De Salud Familiar La Fe, Inc. has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. Centro De Salud Familiar La Fe, Inc. did not receive donated Personal Protective Equipment (PPE) from federal sources during the year ended December 31, 2022.

Finding Details

Finding 2022-002
Health Center Program Cluster Assistance Listing Numbers 93.224 and 93.527 U.S. Department of Health and Human Services Criteria or Specific Requirement ? Special Tests and Provisions: Sliding Fee Discounts (42 USC 254(k)(3)(g); 42 CFR sections 51c.303(g); and 42 CFR sections 56.303 (f)) Condition ? Patients received a sliding fee discount that was inconsistent with the stated sliding fee discount categories under the Organization?s policy or not compliant with the Health Center Program Compliance Manual. Questioned cost ? None Context ? A sample of 25 patients were tested out of the total population of 68,391 encounters. The sampling methodology used is not and is not intended to be statistically valid. Three patients received a sliding fee adjustment that was inconsistent with the approved policy for the proper sliding fee adjustment based on their income documentation. One patient received a sliding fee adjustment that is inconsistent to the Health Center Program Compliance Manual as the Organization?s policy was not in compliance with the Health Center Program Compliance Manual. Effect ? Sliding fee discounts were given to patients that were inconsistent with the Organization?s sliding fee discount policy. Cause ? The Organization did not comply with their sliding fee policy and a portion of the sliding fee policy was not in compliance with the Health Center Program Compliance Manual. Identification as a repeat finding, if applicable ? Is not a repeat finding. Recommendation ? We recommend management update their sliding fee policy to be in compliance with the Health Center Program Compliance Manual. Additionally, the Organization should continue to ensure all personnel understand the sliding fee scale policy and adhere to the requirements and guidelines set forth in the policy.
Finding 2022-002
Health Center Program Cluster Assistance Listing Numbers 93.224 and 93.527 U.S. Department of Health and Human Services Criteria or Specific Requirement ? Special Tests and Provisions: Sliding Fee Discounts (42 USC 254(k)(3)(g); 42 CFR sections 51c.303(g); and 42 CFR sections 56.303 (f)) Condition ? Patients received a sliding fee discount that was inconsistent with the stated sliding fee discount categories under the Organization?s policy or not compliant with the Health Center Program Compliance Manual. Questioned cost ? None Context ? A sample of 25 patients were tested out of the total population of 68,391 encounters. The sampling methodology used is not and is not intended to be statistically valid. Three patients received a sliding fee adjustment that was inconsistent with the approved policy for the proper sliding fee adjustment based on their income documentation. One patient received a sliding fee adjustment that is inconsistent to the Health Center Program Compliance Manual as the Organization?s policy was not in compliance with the Health Center Program Compliance Manual. Effect ? Sliding fee discounts were given to patients that were inconsistent with the Organization?s sliding fee discount policy. Cause ? The Organization did not comply with their sliding fee policy and a portion of the sliding fee policy was not in compliance with the Health Center Program Compliance Manual. Identification as a repeat finding, if applicable ? Is not a repeat finding. Recommendation ? We recommend management update their sliding fee policy to be in compliance with the Health Center Program Compliance Manual. Additionally, the Organization should continue to ensure all personnel understand the sliding fee scale policy and adhere to the requirements and guidelines set forth in the policy.
Finding 2022-002
Health Center Program Cluster Assistance Listing Numbers 93.224 and 93.527 U.S. Department of Health and Human Services Criteria or Specific Requirement ? Special Tests and Provisions: Sliding Fee Discounts (42 USC 254(k)(3)(g); 42 CFR sections 51c.303(g); and 42 CFR sections 56.303 (f)) Condition ? Patients received a sliding fee discount that was inconsistent with the stated sliding fee discount categories under the Organization?s policy or not compliant with the Health Center Program Compliance Manual. Questioned cost ? None Context ? A sample of 25 patients were tested out of the total population of 68,391 encounters. The sampling methodology used is not and is not intended to be statistically valid. Three patients received a sliding fee adjustment that was inconsistent with the approved policy for the proper sliding fee adjustment based on their income documentation. One patient received a sliding fee adjustment that is inconsistent to the Health Center Program Compliance Manual as the Organization?s policy was not in compliance with the Health Center Program Compliance Manual. Effect ? Sliding fee discounts were given to patients that were inconsistent with the Organization?s sliding fee discount policy. Cause ? The Organization did not comply with their sliding fee policy and a portion of the sliding fee policy was not in compliance with the Health Center Program Compliance Manual. Identification as a repeat finding, if applicable ? Is not a repeat finding. Recommendation ? We recommend management update their sliding fee policy to be in compliance with the Health Center Program Compliance Manual. Additionally, the Organization should continue to ensure all personnel understand the sliding fee scale policy and adhere to the requirements and guidelines set forth in the policy.
Finding 2022-002
Health Center Program Cluster Assistance Listing Numbers 93.224 and 93.527 U.S. Department of Health and Human Services Criteria or Specific Requirement ? Special Tests and Provisions: Sliding Fee Discounts (42 USC 254(k)(3)(g); 42 CFR sections 51c.303(g); and 42 CFR sections 56.303 (f)) Condition ? Patients received a sliding fee discount that was inconsistent with the stated sliding fee discount categories under the Organization?s policy or not compliant with the Health Center Program Compliance Manual. Questioned cost ? None Context ? A sample of 25 patients were tested out of the total population of 68,391 encounters. The sampling methodology used is not and is not intended to be statistically valid. Three patients received a sliding fee adjustment that was inconsistent with the approved policy for the proper sliding fee adjustment based on their income documentation. One patient received a sliding fee adjustment that is inconsistent to the Health Center Program Compliance Manual as the Organization?s policy was not in compliance with the Health Center Program Compliance Manual. Effect ? Sliding fee discounts were given to patients that were inconsistent with the Organization?s sliding fee discount policy. Cause ? The Organization did not comply with their sliding fee policy and a portion of the sliding fee policy was not in compliance with the Health Center Program Compliance Manual. Identification as a repeat finding, if applicable ? Is not a repeat finding. Recommendation ? We recommend management update their sliding fee policy to be in compliance with the Health Center Program Compliance Manual. Additionally, the Organization should continue to ensure all personnel understand the sliding fee scale policy and adhere to the requirements and guidelines set forth in the policy.
Finding 2022-002
Health Center Program Cluster Assistance Listing Numbers 93.224 and 93.527 U.S. Department of Health and Human Services Criteria or Specific Requirement ? Special Tests and Provisions: Sliding Fee Discounts (42 USC 254(k)(3)(g); 42 CFR sections 51c.303(g); and 42 CFR sections 56.303 (f)) Condition ? Patients received a sliding fee discount that was inconsistent with the stated sliding fee discount categories under the Organization?s policy or not compliant with the Health Center Program Compliance Manual. Questioned cost ? None Context ? A sample of 25 patients were tested out of the total population of 68,391 encounters. The sampling methodology used is not and is not intended to be statistically valid. Three patients received a sliding fee adjustment that was inconsistent with the approved policy for the proper sliding fee adjustment based on their income documentation. One patient received a sliding fee adjustment that is inconsistent to the Health Center Program Compliance Manual as the Organization?s policy was not in compliance with the Health Center Program Compliance Manual. Effect ? Sliding fee discounts were given to patients that were inconsistent with the Organization?s sliding fee discount policy. Cause ? The Organization did not comply with their sliding fee policy and a portion of the sliding fee policy was not in compliance with the Health Center Program Compliance Manual. Identification as a repeat finding, if applicable ? Is not a repeat finding. Recommendation ? We recommend management update their sliding fee policy to be in compliance with the Health Center Program Compliance Manual. Additionally, the Organization should continue to ensure all personnel understand the sliding fee scale policy and adhere to the requirements and guidelines set forth in the policy.
Finding 2022-002
Health Center Program Cluster Assistance Listing Numbers 93.224 and 93.527 U.S. Department of Health and Human Services Criteria or Specific Requirement ? Special Tests and Provisions: Sliding Fee Discounts (42 USC 254(k)(3)(g); 42 CFR sections 51c.303(g); and 42 CFR sections 56.303 (f)) Condition ? Patients received a sliding fee discount that was inconsistent with the stated sliding fee discount categories under the Organization?s policy or not compliant with the Health Center Program Compliance Manual. Questioned cost ? None Context ? A sample of 25 patients were tested out of the total population of 68,391 encounters. The sampling methodology used is not and is not intended to be statistically valid. Three patients received a sliding fee adjustment that was inconsistent with the approved policy for the proper sliding fee adjustment based on their income documentation. One patient received a sliding fee adjustment that is inconsistent to the Health Center Program Compliance Manual as the Organization?s policy was not in compliance with the Health Center Program Compliance Manual. Effect ? Sliding fee discounts were given to patients that were inconsistent with the Organization?s sliding fee discount policy. Cause ? The Organization did not comply with their sliding fee policy and a portion of the sliding fee policy was not in compliance with the Health Center Program Compliance Manual. Identification as a repeat finding, if applicable ? Is not a repeat finding. Recommendation ? We recommend management update their sliding fee policy to be in compliance with the Health Center Program Compliance Manual. Additionally, the Organization should continue to ensure all personnel understand the sliding fee scale policy and adhere to the requirements and guidelines set forth in the policy.