United States Department of Health and Human Services
Direct funding
Program: Head Start
CFDA: 93.600
Grant Number: 04CH011788-04-00
Noncompliance / Significant Deficiency
Reporting
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
The grant requires semi-annual and annual reporting expenditures incurred for awards.
Semi-annual SF-425 report for grant award 04CH011788-04-00 were due March 1, 2024
and October 31, 2024. The annual SF-425 report was due October 31, 2024.
Management agrees with our recommendation and finding. The delinquent reports have
been prepared and submitted as of audit issuance. In addition, the role of Assistant
Executive Director has changed as of date of this report. As such, a different individual
will be monitoring and tracking the reporting requirements.
The Center failed to submit timely semi-annual and annual reports for the grant periods
ending January 31, 2024, and July 31, 2024. The semi-annual report for the period
ending January 31, 2024 which was due March 1, 2024, was submitted in October 2024.
The semi-annual and annual reports for the periods ending July 31, 2024, were
submitted in February 2025.
Reporting deadlines are not being appropriately tracked and monitored.
We recommend management review current controls over reporting to ensure timeliness
of report submissions.
The Center was required to file the reports late to rectify the matter
All Funding Sources
Significant Deficiency
Procurement
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
An entity must have and use documented procurement policies consistent with Federal,
State, and local laws, regulations, and standards for the acquisition of property or
services required under a Federal award or subaward. The procedures must conform to
the procurement standards identified in CFR § 200.317 through 200.327.
Management agrees with our recommendation and finding and will work to implement a
policy.
The entity has continued to reference specific grant manuals and guidelines as its
written procurement policy.
We recommend management develop and adhere to an internally developed policy for all
procurements using Federally sourced funds.
The Center maintains specific grant manuals and guidelines as its written policies;
however, previous audit identified errors in misapplying grant guidelines among funding
sources. A recommendation was made in previous audit to develop a policy that would
cover all procurements using Federally sourced funds. Such policy was not developed.
Failure to follow appropriate procurement procedures could result in excess procurement
costs being disallowed and subject the entity to possible claims.
All Funding Sources
Significant Deficiency
Reporting
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
Management agrees with our recommendation and finding and will work to ensure each
grant's financial report is reviewed and approved each month.
An entity must have controls in place to ensure that reports for federal awards are
supported by applicable accounting records. Grant activity is tracked in the general
ledger based on grant codes. Internal processes are designed such that the Assistant
Executive Director reviews accuracy of grant reports by comparing to the grant activity
within the general ledger.
During the year we noted certain grant reports did not match the underlying general
ledger data for the same period.
Per discussion with Assistant Executive Director, certain allocation adjustments may be
determined necessary during the preparation of reports that are not being posted
appropriately to the general ledger. In one reporting instance identified, salary
allocations were adjusted to reflect grant related costs; however, this reallocation was not
updated in the ledger.
Inaccurate reporting could result in costs being disallowed and subject the entity to
possible claims.
We recommend reports be reviewed against the general ledger prior to submission, and
any discrepancies should be addressed timely.
United States Department of Health and Human Services
Direct funding
Program: Head Start
CFDA: 93.600
Grant Number: 04CH011788-04-00
Noncompliance / Significant Deficiency
Reporting
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
The grant requires semi-annual and annual reporting expenditures incurred for awards.
Semi-annual SF-425 report for grant award 04CH011788-04-00 were due March 1, 2024
and October 31, 2024. The annual SF-425 report was due October 31, 2024.
Management agrees with our recommendation and finding. The delinquent reports have
been prepared and submitted as of audit issuance. In addition, the role of Assistant
Executive Director has changed as of date of this report. As such, a different individual
will be monitoring and tracking the reporting requirements.
The Center failed to submit timely semi-annual and annual reports for the grant periods
ending January 31, 2024, and July 31, 2024. The semi-annual report for the period
ending January 31, 2024 which was due March 1, 2024, was submitted in October 2024.
The semi-annual and annual reports for the periods ending July 31, 2024, were
submitted in February 2025.
Reporting deadlines are not being appropriately tracked and monitored.
We recommend management review current controls over reporting to ensure timeliness
of report submissions.
The Center was required to file the reports late to rectify the matter
All Funding Sources
Significant Deficiency
Procurement
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
An entity must have and use documented procurement policies consistent with Federal,
State, and local laws, regulations, and standards for the acquisition of property or
services required under a Federal award or subaward. The procedures must conform to
the procurement standards identified in CFR § 200.317 through 200.327.
Management agrees with our recommendation and finding and will work to implement a
policy.
The entity has continued to reference specific grant manuals and guidelines as its
written procurement policy.
We recommend management develop and adhere to an internally developed policy for all
procurements using Federally sourced funds.
The Center maintains specific grant manuals and guidelines as its written policies;
however, previous audit identified errors in misapplying grant guidelines among funding
sources. A recommendation was made in previous audit to develop a policy that would
cover all procurements using Federally sourced funds. Such policy was not developed.
Failure to follow appropriate procurement procedures could result in excess procurement
costs being disallowed and subject the entity to possible claims.
All Funding Sources
Significant Deficiency
Reporting
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
Management agrees with our recommendation and finding and will work to ensure each
grant's financial report is reviewed and approved each month.
An entity must have controls in place to ensure that reports for federal awards are
supported by applicable accounting records. Grant activity is tracked in the general
ledger based on grant codes. Internal processes are designed such that the Assistant
Executive Director reviews accuracy of grant reports by comparing to the grant activity
within the general ledger.
During the year we noted certain grant reports did not match the underlying general
ledger data for the same period.
Per discussion with Assistant Executive Director, certain allocation adjustments may be
determined necessary during the preparation of reports that are not being posted
appropriately to the general ledger. In one reporting instance identified, salary
allocations were adjusted to reflect grant related costs; however, this reallocation was not
updated in the ledger.
Inaccurate reporting could result in costs being disallowed and subject the entity to
possible claims.
We recommend reports be reviewed against the general ledger prior to submission, and
any discrepancies should be addressed timely.
All Funding Sources
Significant Deficiency
Procurement
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
An entity must have and use documented procurement policies consistent with Federal,
State, and local laws, regulations, and standards for the acquisition of property or
services required under a Federal award or subaward. The procedures must conform to
the procurement standards identified in CFR § 200.317 through 200.327.
Management agrees with our recommendation and finding and will work to implement a
policy.
The entity has continued to reference specific grant manuals and guidelines as its
written procurement policy.
We recommend management develop and adhere to an internally developed policy for all
procurements using Federally sourced funds.
The Center maintains specific grant manuals and guidelines as its written policies;
however, previous audit identified errors in misapplying grant guidelines among funding
sources. A recommendation was made in previous audit to develop a policy that would
cover all procurements using Federally sourced funds. Such policy was not developed.
Failure to follow appropriate procurement procedures could result in excess procurement
costs being disallowed and subject the entity to possible claims.
All Funding Sources
Significant Deficiency
Reporting
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
Management agrees with our recommendation and finding and will work to ensure each
grant's financial report is reviewed and approved each month.
An entity must have controls in place to ensure that reports for federal awards are
supported by applicable accounting records. Grant activity is tracked in the general
ledger based on grant codes. Internal processes are designed such that the Assistant
Executive Director reviews accuracy of grant reports by comparing to the grant activity
within the general ledger.
During the year we noted certain grant reports did not match the underlying general
ledger data for the same period.
Per discussion with Assistant Executive Director, certain allocation adjustments may be
determined necessary during the preparation of reports that are not being posted
appropriately to the general ledger. In one reporting instance identified, salary
allocations were adjusted to reflect grant related costs; however, this reallocation was not
updated in the ledger.
Inaccurate reporting could result in costs being disallowed and subject the entity to
possible claims.
We recommend reports be reviewed against the general ledger prior to submission, and
any discrepancies should be addressed timely.
All Funding Sources
Significant Deficiency
Procurement
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
An entity must have and use documented procurement policies consistent with Federal,
State, and local laws, regulations, and standards for the acquisition of property or
services required under a Federal award or subaward. The procedures must conform to
the procurement standards identified in CFR § 200.317 through 200.327.
Management agrees with our recommendation and finding and will work to implement a
policy.
The entity has continued to reference specific grant manuals and guidelines as its
written procurement policy.
We recommend management develop and adhere to an internally developed policy for all
procurements using Federally sourced funds.
The Center maintains specific grant manuals and guidelines as its written policies;
however, previous audit identified errors in misapplying grant guidelines among funding
sources. A recommendation was made in previous audit to develop a policy that would
cover all procurements using Federally sourced funds. Such policy was not developed.
Failure to follow appropriate procurement procedures could result in excess procurement
costs being disallowed and subject the entity to possible claims.
All Funding Sources
Significant Deficiency
Reporting
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
Management agrees with our recommendation and finding and will work to ensure each
grant's financial report is reviewed and approved each month.
An entity must have controls in place to ensure that reports for federal awards are
supported by applicable accounting records. Grant activity is tracked in the general
ledger based on grant codes. Internal processes are designed such that the Assistant
Executive Director reviews accuracy of grant reports by comparing to the grant activity
within the general ledger.
During the year we noted certain grant reports did not match the underlying general
ledger data for the same period.
Per discussion with Assistant Executive Director, certain allocation adjustments may be
determined necessary during the preparation of reports that are not being posted
appropriately to the general ledger. In one reporting instance identified, salary
allocations were adjusted to reflect grant related costs; however, this reallocation was not
updated in the ledger.
Inaccurate reporting could result in costs being disallowed and subject the entity to
possible claims.
We recommend reports be reviewed against the general ledger prior to submission, and
any discrepancies should be addressed timely.
All Funding Sources
Significant Deficiency
Procurement
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
An entity must have and use documented procurement policies consistent with Federal,
State, and local laws, regulations, and standards for the acquisition of property or
services required under a Federal award or subaward. The procedures must conform to
the procurement standards identified in CFR § 200.317 through 200.327.
Management agrees with our recommendation and finding and will work to implement a
policy.
The entity has continued to reference specific grant manuals and guidelines as its
written procurement policy.
We recommend management develop and adhere to an internally developed policy for all
procurements using Federally sourced funds.
The Center maintains specific grant manuals and guidelines as its written policies;
however, previous audit identified errors in misapplying grant guidelines among funding
sources. A recommendation was made in previous audit to develop a policy that would
cover all procurements using Federally sourced funds. Such policy was not developed.
Failure to follow appropriate procurement procedures could result in excess procurement
costs being disallowed and subject the entity to possible claims.
All Funding Sources
Significant Deficiency
Reporting
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
Management agrees with our recommendation and finding and will work to ensure each
grant's financial report is reviewed and approved each month.
An entity must have controls in place to ensure that reports for federal awards are
supported by applicable accounting records. Grant activity is tracked in the general
ledger based on grant codes. Internal processes are designed such that the Assistant
Executive Director reviews accuracy of grant reports by comparing to the grant activity
within the general ledger.
During the year we noted certain grant reports did not match the underlying general
ledger data for the same period.
Per discussion with Assistant Executive Director, certain allocation adjustments may be
determined necessary during the preparation of reports that are not being posted
appropriately to the general ledger. In one reporting instance identified, salary
allocations were adjusted to reflect grant related costs; however, this reallocation was not
updated in the ledger.
Inaccurate reporting could result in costs being disallowed and subject the entity to
possible claims.
We recommend reports be reviewed against the general ledger prior to submission, and
any discrepancies should be addressed timely.
All Funding Sources
Significant Deficiency
Procurement
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
An entity must have and use documented procurement policies consistent with Federal,
State, and local laws, regulations, and standards for the acquisition of property or
services required under a Federal award or subaward. The procedures must conform to
the procurement standards identified in CFR § 200.317 through 200.327.
Management agrees with our recommendation and finding and will work to implement a
policy.
The entity has continued to reference specific grant manuals and guidelines as its
written procurement policy.
We recommend management develop and adhere to an internally developed policy for all
procurements using Federally sourced funds.
The Center maintains specific grant manuals and guidelines as its written policies;
however, previous audit identified errors in misapplying grant guidelines among funding
sources. A recommendation was made in previous audit to develop a policy that would
cover all procurements using Federally sourced funds. Such policy was not developed.
Failure to follow appropriate procurement procedures could result in excess procurement
costs being disallowed and subject the entity to possible claims.
All Funding Sources
Significant Deficiency
Reporting
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
Management agrees with our recommendation and finding and will work to ensure each
grant's financial report is reviewed and approved each month.
An entity must have controls in place to ensure that reports for federal awards are
supported by applicable accounting records. Grant activity is tracked in the general
ledger based on grant codes. Internal processes are designed such that the Assistant
Executive Director reviews accuracy of grant reports by comparing to the grant activity
within the general ledger.
During the year we noted certain grant reports did not match the underlying general
ledger data for the same period.
Per discussion with Assistant Executive Director, certain allocation adjustments may be
determined necessary during the preparation of reports that are not being posted
appropriately to the general ledger. In one reporting instance identified, salary
allocations were adjusted to reflect grant related costs; however, this reallocation was not
updated in the ledger.
Inaccurate reporting could result in costs being disallowed and subject the entity to
possible claims.
We recommend reports be reviewed against the general ledger prior to submission, and
any discrepancies should be addressed timely.
All Funding Sources
Significant Deficiency
Procurement
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
An entity must have and use documented procurement policies consistent with Federal,
State, and local laws, regulations, and standards for the acquisition of property or
services required under a Federal award or subaward. The procedures must conform to
the procurement standards identified in CFR § 200.317 through 200.327.
Management agrees with our recommendation and finding and will work to implement a
policy.
The entity has continued to reference specific grant manuals and guidelines as its
written procurement policy.
We recommend management develop and adhere to an internally developed policy for all
procurements using Federally sourced funds.
The Center maintains specific grant manuals and guidelines as its written policies;
however, previous audit identified errors in misapplying grant guidelines among funding
sources. A recommendation was made in previous audit to develop a policy that would
cover all procurements using Federally sourced funds. Such policy was not developed.
Failure to follow appropriate procurement procedures could result in excess procurement
costs being disallowed and subject the entity to possible claims.
All Funding Sources
Significant Deficiency
Reporting
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
Management agrees with our recommendation and finding and will work to ensure each
grant's financial report is reviewed and approved each month.
An entity must have controls in place to ensure that reports for federal awards are
supported by applicable accounting records. Grant activity is tracked in the general
ledger based on grant codes. Internal processes are designed such that the Assistant
Executive Director reviews accuracy of grant reports by comparing to the grant activity
within the general ledger.
During the year we noted certain grant reports did not match the underlying general
ledger data for the same period.
Per discussion with Assistant Executive Director, certain allocation adjustments may be
determined necessary during the preparation of reports that are not being posted
appropriately to the general ledger. In one reporting instance identified, salary
allocations were adjusted to reflect grant related costs; however, this reallocation was not
updated in the ledger.
Inaccurate reporting could result in costs being disallowed and subject the entity to
possible claims.
We recommend reports be reviewed against the general ledger prior to submission, and
any discrepancies should be addressed timely.
All Funding Sources
Significant Deficiency
Procurement
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
An entity must have and use documented procurement policies consistent with Federal,
State, and local laws, regulations, and standards for the acquisition of property or
services required under a Federal award or subaward. The procedures must conform to
the procurement standards identified in CFR § 200.317 through 200.327.
Management agrees with our recommendation and finding and will work to implement a
policy.
The entity has continued to reference specific grant manuals and guidelines as its
written procurement policy.
We recommend management develop and adhere to an internally developed policy for all
procurements using Federally sourced funds.
The Center maintains specific grant manuals and guidelines as its written policies;
however, previous audit identified errors in misapplying grant guidelines among funding
sources. A recommendation was made in previous audit to develop a policy that would
cover all procurements using Federally sourced funds. Such policy was not developed.
Failure to follow appropriate procurement procedures could result in excess procurement
costs being disallowed and subject the entity to possible claims.
All Funding Sources
Significant Deficiency
Reporting
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
Management agrees with our recommendation and finding and will work to ensure each
grant's financial report is reviewed and approved each month.
An entity must have controls in place to ensure that reports for federal awards are
supported by applicable accounting records. Grant activity is tracked in the general
ledger based on grant codes. Internal processes are designed such that the Assistant
Executive Director reviews accuracy of grant reports by comparing to the grant activity
within the general ledger.
During the year we noted certain grant reports did not match the underlying general
ledger data for the same period.
Per discussion with Assistant Executive Director, certain allocation adjustments may be
determined necessary during the preparation of reports that are not being posted
appropriately to the general ledger. In one reporting instance identified, salary
allocations were adjusted to reflect grant related costs; however, this reallocation was not
updated in the ledger.
Inaccurate reporting could result in costs being disallowed and subject the entity to
possible claims.
We recommend reports be reviewed against the general ledger prior to submission, and
any discrepancies should be addressed timely.
All Funding Sources
Significant Deficiency
Procurement
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
An entity must have and use documented procurement policies consistent with Federal,
State, and local laws, regulations, and standards for the acquisition of property or
services required under a Federal award or subaward. The procedures must conform to
the procurement standards identified in CFR § 200.317 through 200.327.
Management agrees with our recommendation and finding and will work to implement a
policy.
The entity has continued to reference specific grant manuals and guidelines as its
written procurement policy.
We recommend management develop and adhere to an internally developed policy for all
procurements using Federally sourced funds.
The Center maintains specific grant manuals and guidelines as its written policies;
however, previous audit identified errors in misapplying grant guidelines among funding
sources. A recommendation was made in previous audit to develop a policy that would
cover all procurements using Federally sourced funds. Such policy was not developed.
Failure to follow appropriate procurement procedures could result in excess procurement
costs being disallowed and subject the entity to possible claims.
All Funding Sources
Significant Deficiency
Reporting
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
Management agrees with our recommendation and finding and will work to ensure each
grant's financial report is reviewed and approved each month.
An entity must have controls in place to ensure that reports for federal awards are
supported by applicable accounting records. Grant activity is tracked in the general
ledger based on grant codes. Internal processes are designed such that the Assistant
Executive Director reviews accuracy of grant reports by comparing to the grant activity
within the general ledger.
During the year we noted certain grant reports did not match the underlying general
ledger data for the same period.
Per discussion with Assistant Executive Director, certain allocation adjustments may be
determined necessary during the preparation of reports that are not being posted
appropriately to the general ledger. In one reporting instance identified, salary
allocations were adjusted to reflect grant related costs; however, this reallocation was not
updated in the ledger.
Inaccurate reporting could result in costs being disallowed and subject the entity to
possible claims.
We recommend reports be reviewed against the general ledger prior to submission, and
any discrepancies should be addressed timely.
All Funding Sources
Significant Deficiency
Procurement
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
An entity must have and use documented procurement policies consistent with Federal,
State, and local laws, regulations, and standards for the acquisition of property or
services required under a Federal award or subaward. The procedures must conform to
the procurement standards identified in CFR § 200.317 through 200.327.
Management agrees with our recommendation and finding and will work to implement a
policy.
The entity has continued to reference specific grant manuals and guidelines as its
written procurement policy.
We recommend management develop and adhere to an internally developed policy for all
procurements using Federally sourced funds.
The Center maintains specific grant manuals and guidelines as its written policies;
however, previous audit identified errors in misapplying grant guidelines among funding
sources. A recommendation was made in previous audit to develop a policy that would
cover all procurements using Federally sourced funds. Such policy was not developed.
Failure to follow appropriate procurement procedures could result in excess procurement
costs being disallowed and subject the entity to possible claims.
All Funding Sources
Significant Deficiency
Reporting
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
Management agrees with our recommendation and finding and will work to ensure each
grant's financial report is reviewed and approved each month.
An entity must have controls in place to ensure that reports for federal awards are
supported by applicable accounting records. Grant activity is tracked in the general
ledger based on grant codes. Internal processes are designed such that the Assistant
Executive Director reviews accuracy of grant reports by comparing to the grant activity
within the general ledger.
During the year we noted certain grant reports did not match the underlying general
ledger data for the same period.
Per discussion with Assistant Executive Director, certain allocation adjustments may be
determined necessary during the preparation of reports that are not being posted
appropriately to the general ledger. In one reporting instance identified, salary
allocations were adjusted to reflect grant related costs; however, this reallocation was not
updated in the ledger.
Inaccurate reporting could result in costs being disallowed and subject the entity to
possible claims.
We recommend reports be reviewed against the general ledger prior to submission, and
any discrepancies should be addressed timely.
All Funding Sources
Significant Deficiency
Procurement
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
An entity must have and use documented procurement policies consistent with Federal,
State, and local laws, regulations, and standards for the acquisition of property or
services required under a Federal award or subaward. The procedures must conform to
the procurement standards identified in CFR § 200.317 through 200.327.
Management agrees with our recommendation and finding and will work to implement a
policy.
The entity has continued to reference specific grant manuals and guidelines as its
written procurement policy.
We recommend management develop and adhere to an internally developed policy for all
procurements using Federally sourced funds.
The Center maintains specific grant manuals and guidelines as its written policies;
however, previous audit identified errors in misapplying grant guidelines among funding
sources. A recommendation was made in previous audit to develop a policy that would
cover all procurements using Federally sourced funds. Such policy was not developed.
Failure to follow appropriate procurement procedures could result in excess procurement
costs being disallowed and subject the entity to possible claims.
All Funding Sources
Significant Deficiency
Reporting
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
Management agrees with our recommendation and finding and will work to ensure each
grant's financial report is reviewed and approved each month.
An entity must have controls in place to ensure that reports for federal awards are
supported by applicable accounting records. Grant activity is tracked in the general
ledger based on grant codes. Internal processes are designed such that the Assistant
Executive Director reviews accuracy of grant reports by comparing to the grant activity
within the general ledger.
During the year we noted certain grant reports did not match the underlying general
ledger data for the same period.
Per discussion with Assistant Executive Director, certain allocation adjustments may be
determined necessary during the preparation of reports that are not being posted
appropriately to the general ledger. In one reporting instance identified, salary
allocations were adjusted to reflect grant related costs; however, this reallocation was not
updated in the ledger.
Inaccurate reporting could result in costs being disallowed and subject the entity to
possible claims.
We recommend reports be reviewed against the general ledger prior to submission, and
any discrepancies should be addressed timely.
United States Department of Health and Human Services
Direct funding
Program: Head Start
CFDA: 93.600
Grant Number: 04CH011788-04-00
Noncompliance / Significant Deficiency
Reporting
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
The grant requires semi-annual and annual reporting expenditures incurred for awards.
Semi-annual SF-425 report for grant award 04CH011788-04-00 were due March 1, 2024
and October 31, 2024. The annual SF-425 report was due October 31, 2024.
Management agrees with our recommendation and finding. The delinquent reports have
been prepared and submitted as of audit issuance. In addition, the role of Assistant
Executive Director has changed as of date of this report. As such, a different individual
will be monitoring and tracking the reporting requirements.
The Center failed to submit timely semi-annual and annual reports for the grant periods
ending January 31, 2024, and July 31, 2024. The semi-annual report for the period
ending January 31, 2024 which was due March 1, 2024, was submitted in October 2024.
The semi-annual and annual reports for the periods ending July 31, 2024, were
submitted in February 2025.
Reporting deadlines are not being appropriately tracked and monitored.
We recommend management review current controls over reporting to ensure timeliness
of report submissions.
The Center was required to file the reports late to rectify the matter
All Funding Sources
Significant Deficiency
Procurement
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
An entity must have and use documented procurement policies consistent with Federal,
State, and local laws, regulations, and standards for the acquisition of property or
services required under a Federal award or subaward. The procedures must conform to
the procurement standards identified in CFR § 200.317 through 200.327.
Management agrees with our recommendation and finding and will work to implement a
policy.
The entity has continued to reference specific grant manuals and guidelines as its
written procurement policy.
We recommend management develop and adhere to an internally developed policy for all
procurements using Federally sourced funds.
The Center maintains specific grant manuals and guidelines as its written policies;
however, previous audit identified errors in misapplying grant guidelines among funding
sources. A recommendation was made in previous audit to develop a policy that would
cover all procurements using Federally sourced funds. Such policy was not developed.
Failure to follow appropriate procurement procedures could result in excess procurement
costs being disallowed and subject the entity to possible claims.
All Funding Sources
Significant Deficiency
Reporting
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
Management agrees with our recommendation and finding and will work to ensure each
grant's financial report is reviewed and approved each month.
An entity must have controls in place to ensure that reports for federal awards are
supported by applicable accounting records. Grant activity is tracked in the general
ledger based on grant codes. Internal processes are designed such that the Assistant
Executive Director reviews accuracy of grant reports by comparing to the grant activity
within the general ledger.
During the year we noted certain grant reports did not match the underlying general
ledger data for the same period.
Per discussion with Assistant Executive Director, certain allocation adjustments may be
determined necessary during the preparation of reports that are not being posted
appropriately to the general ledger. In one reporting instance identified, salary
allocations were adjusted to reflect grant related costs; however, this reallocation was not
updated in the ledger.
Inaccurate reporting could result in costs being disallowed and subject the entity to
possible claims.
We recommend reports be reviewed against the general ledger prior to submission, and
any discrepancies should be addressed timely.
United States Department of Health and Human Services
Direct funding
Program: Head Start
CFDA: 93.600
Grant Number: 04CH011788-04-00
Noncompliance / Significant Deficiency
Reporting
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
The grant requires semi-annual and annual reporting expenditures incurred for awards.
Semi-annual SF-425 report for grant award 04CH011788-04-00 were due March 1, 2024
and October 31, 2024. The annual SF-425 report was due October 31, 2024.
Management agrees with our recommendation and finding. The delinquent reports have
been prepared and submitted as of audit issuance. In addition, the role of Assistant
Executive Director has changed as of date of this report. As such, a different individual
will be monitoring and tracking the reporting requirements.
The Center failed to submit timely semi-annual and annual reports for the grant periods
ending January 31, 2024, and July 31, 2024. The semi-annual report for the period
ending January 31, 2024 which was due March 1, 2024, was submitted in October 2024.
The semi-annual and annual reports for the periods ending July 31, 2024, were
submitted in February 2025.
Reporting deadlines are not being appropriately tracked and monitored.
We recommend management review current controls over reporting to ensure timeliness
of report submissions.
The Center was required to file the reports late to rectify the matter
All Funding Sources
Significant Deficiency
Procurement
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
An entity must have and use documented procurement policies consistent with Federal,
State, and local laws, regulations, and standards for the acquisition of property or
services required under a Federal award or subaward. The procedures must conform to
the procurement standards identified in CFR § 200.317 through 200.327.
Management agrees with our recommendation and finding and will work to implement a
policy.
The entity has continued to reference specific grant manuals and guidelines as its
written procurement policy.
We recommend management develop and adhere to an internally developed policy for all
procurements using Federally sourced funds.
The Center maintains specific grant manuals and guidelines as its written policies;
however, previous audit identified errors in misapplying grant guidelines among funding
sources. A recommendation was made in previous audit to develop a policy that would
cover all procurements using Federally sourced funds. Such policy was not developed.
Failure to follow appropriate procurement procedures could result in excess procurement
costs being disallowed and subject the entity to possible claims.
All Funding Sources
Significant Deficiency
Reporting
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
Management agrees with our recommendation and finding and will work to ensure each
grant's financial report is reviewed and approved each month.
An entity must have controls in place to ensure that reports for federal awards are
supported by applicable accounting records. Grant activity is tracked in the general
ledger based on grant codes. Internal processes are designed such that the Assistant
Executive Director reviews accuracy of grant reports by comparing to the grant activity
within the general ledger.
During the year we noted certain grant reports did not match the underlying general
ledger data for the same period.
Per discussion with Assistant Executive Director, certain allocation adjustments may be
determined necessary during the preparation of reports that are not being posted
appropriately to the general ledger. In one reporting instance identified, salary
allocations were adjusted to reflect grant related costs; however, this reallocation was not
updated in the ledger.
Inaccurate reporting could result in costs being disallowed and subject the entity to
possible claims.
We recommend reports be reviewed against the general ledger prior to submission, and
any discrepancies should be addressed timely.
All Funding Sources
Significant Deficiency
Procurement
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
An entity must have and use documented procurement policies consistent with Federal,
State, and local laws, regulations, and standards for the acquisition of property or
services required under a Federal award or subaward. The procedures must conform to
the procurement standards identified in CFR § 200.317 through 200.327.
Management agrees with our recommendation and finding and will work to implement a
policy.
The entity has continued to reference specific grant manuals and guidelines as its
written procurement policy.
We recommend management develop and adhere to an internally developed policy for all
procurements using Federally sourced funds.
The Center maintains specific grant manuals and guidelines as its written policies;
however, previous audit identified errors in misapplying grant guidelines among funding
sources. A recommendation was made in previous audit to develop a policy that would
cover all procurements using Federally sourced funds. Such policy was not developed.
Failure to follow appropriate procurement procedures could result in excess procurement
costs being disallowed and subject the entity to possible claims.
All Funding Sources
Significant Deficiency
Reporting
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
Management agrees with our recommendation and finding and will work to ensure each
grant's financial report is reviewed and approved each month.
An entity must have controls in place to ensure that reports for federal awards are
supported by applicable accounting records. Grant activity is tracked in the general
ledger based on grant codes. Internal processes are designed such that the Assistant
Executive Director reviews accuracy of grant reports by comparing to the grant activity
within the general ledger.
During the year we noted certain grant reports did not match the underlying general
ledger data for the same period.
Per discussion with Assistant Executive Director, certain allocation adjustments may be
determined necessary during the preparation of reports that are not being posted
appropriately to the general ledger. In one reporting instance identified, salary
allocations were adjusted to reflect grant related costs; however, this reallocation was not
updated in the ledger.
Inaccurate reporting could result in costs being disallowed and subject the entity to
possible claims.
We recommend reports be reviewed against the general ledger prior to submission, and
any discrepancies should be addressed timely.
All Funding Sources
Significant Deficiency
Procurement
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
An entity must have and use documented procurement policies consistent with Federal,
State, and local laws, regulations, and standards for the acquisition of property or
services required under a Federal award or subaward. The procedures must conform to
the procurement standards identified in CFR § 200.317 through 200.327.
Management agrees with our recommendation and finding and will work to implement a
policy.
The entity has continued to reference specific grant manuals and guidelines as its
written procurement policy.
We recommend management develop and adhere to an internally developed policy for all
procurements using Federally sourced funds.
The Center maintains specific grant manuals and guidelines as its written policies;
however, previous audit identified errors in misapplying grant guidelines among funding
sources. A recommendation was made in previous audit to develop a policy that would
cover all procurements using Federally sourced funds. Such policy was not developed.
Failure to follow appropriate procurement procedures could result in excess procurement
costs being disallowed and subject the entity to possible claims.
All Funding Sources
Significant Deficiency
Reporting
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
Management agrees with our recommendation and finding and will work to ensure each
grant's financial report is reviewed and approved each month.
An entity must have controls in place to ensure that reports for federal awards are
supported by applicable accounting records. Grant activity is tracked in the general
ledger based on grant codes. Internal processes are designed such that the Assistant
Executive Director reviews accuracy of grant reports by comparing to the grant activity
within the general ledger.
During the year we noted certain grant reports did not match the underlying general
ledger data for the same period.
Per discussion with Assistant Executive Director, certain allocation adjustments may be
determined necessary during the preparation of reports that are not being posted
appropriately to the general ledger. In one reporting instance identified, salary
allocations were adjusted to reflect grant related costs; however, this reallocation was not
updated in the ledger.
Inaccurate reporting could result in costs being disallowed and subject the entity to
possible claims.
We recommend reports be reviewed against the general ledger prior to submission, and
any discrepancies should be addressed timely.
All Funding Sources
Significant Deficiency
Procurement
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
An entity must have and use documented procurement policies consistent with Federal,
State, and local laws, regulations, and standards for the acquisition of property or
services required under a Federal award or subaward. The procedures must conform to
the procurement standards identified in CFR § 200.317 through 200.327.
Management agrees with our recommendation and finding and will work to implement a
policy.
The entity has continued to reference specific grant manuals and guidelines as its
written procurement policy.
We recommend management develop and adhere to an internally developed policy for all
procurements using Federally sourced funds.
The Center maintains specific grant manuals and guidelines as its written policies;
however, previous audit identified errors in misapplying grant guidelines among funding
sources. A recommendation was made in previous audit to develop a policy that would
cover all procurements using Federally sourced funds. Such policy was not developed.
Failure to follow appropriate procurement procedures could result in excess procurement
costs being disallowed and subject the entity to possible claims.
All Funding Sources
Significant Deficiency
Reporting
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
Management agrees with our recommendation and finding and will work to ensure each
grant's financial report is reviewed and approved each month.
An entity must have controls in place to ensure that reports for federal awards are
supported by applicable accounting records. Grant activity is tracked in the general
ledger based on grant codes. Internal processes are designed such that the Assistant
Executive Director reviews accuracy of grant reports by comparing to the grant activity
within the general ledger.
During the year we noted certain grant reports did not match the underlying general
ledger data for the same period.
Per discussion with Assistant Executive Director, certain allocation adjustments may be
determined necessary during the preparation of reports that are not being posted
appropriately to the general ledger. In one reporting instance identified, salary
allocations were adjusted to reflect grant related costs; however, this reallocation was not
updated in the ledger.
Inaccurate reporting could result in costs being disallowed and subject the entity to
possible claims.
We recommend reports be reviewed against the general ledger prior to submission, and
any discrepancies should be addressed timely.
All Funding Sources
Significant Deficiency
Procurement
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
An entity must have and use documented procurement policies consistent with Federal,
State, and local laws, regulations, and standards for the acquisition of property or
services required under a Federal award or subaward. The procedures must conform to
the procurement standards identified in CFR § 200.317 through 200.327.
Management agrees with our recommendation and finding and will work to implement a
policy.
The entity has continued to reference specific grant manuals and guidelines as its
written procurement policy.
We recommend management develop and adhere to an internally developed policy for all
procurements using Federally sourced funds.
The Center maintains specific grant manuals and guidelines as its written policies;
however, previous audit identified errors in misapplying grant guidelines among funding
sources. A recommendation was made in previous audit to develop a policy that would
cover all procurements using Federally sourced funds. Such policy was not developed.
Failure to follow appropriate procurement procedures could result in excess procurement
costs being disallowed and subject the entity to possible claims.
All Funding Sources
Significant Deficiency
Reporting
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
Management agrees with our recommendation and finding and will work to ensure each
grant's financial report is reviewed and approved each month.
An entity must have controls in place to ensure that reports for federal awards are
supported by applicable accounting records. Grant activity is tracked in the general
ledger based on grant codes. Internal processes are designed such that the Assistant
Executive Director reviews accuracy of grant reports by comparing to the grant activity
within the general ledger.
During the year we noted certain grant reports did not match the underlying general
ledger data for the same period.
Per discussion with Assistant Executive Director, certain allocation adjustments may be
determined necessary during the preparation of reports that are not being posted
appropriately to the general ledger. In one reporting instance identified, salary
allocations were adjusted to reflect grant related costs; however, this reallocation was not
updated in the ledger.
Inaccurate reporting could result in costs being disallowed and subject the entity to
possible claims.
We recommend reports be reviewed against the general ledger prior to submission, and
any discrepancies should be addressed timely.
All Funding Sources
Significant Deficiency
Procurement
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
An entity must have and use documented procurement policies consistent with Federal,
State, and local laws, regulations, and standards for the acquisition of property or
services required under a Federal award or subaward. The procedures must conform to
the procurement standards identified in CFR § 200.317 through 200.327.
Management agrees with our recommendation and finding and will work to implement a
policy.
The entity has continued to reference specific grant manuals and guidelines as its
written procurement policy.
We recommend management develop and adhere to an internally developed policy for all
procurements using Federally sourced funds.
The Center maintains specific grant manuals and guidelines as its written policies;
however, previous audit identified errors in misapplying grant guidelines among funding
sources. A recommendation was made in previous audit to develop a policy that would
cover all procurements using Federally sourced funds. Such policy was not developed.
Failure to follow appropriate procurement procedures could result in excess procurement
costs being disallowed and subject the entity to possible claims.
All Funding Sources
Significant Deficiency
Reporting
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
Management agrees with our recommendation and finding and will work to ensure each
grant's financial report is reviewed and approved each month.
An entity must have controls in place to ensure that reports for federal awards are
supported by applicable accounting records. Grant activity is tracked in the general
ledger based on grant codes. Internal processes are designed such that the Assistant
Executive Director reviews accuracy of grant reports by comparing to the grant activity
within the general ledger.
During the year we noted certain grant reports did not match the underlying general
ledger data for the same period.
Per discussion with Assistant Executive Director, certain allocation adjustments may be
determined necessary during the preparation of reports that are not being posted
appropriately to the general ledger. In one reporting instance identified, salary
allocations were adjusted to reflect grant related costs; however, this reallocation was not
updated in the ledger.
Inaccurate reporting could result in costs being disallowed and subject the entity to
possible claims.
We recommend reports be reviewed against the general ledger prior to submission, and
any discrepancies should be addressed timely.
All Funding Sources
Significant Deficiency
Procurement
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
An entity must have and use documented procurement policies consistent with Federal,
State, and local laws, regulations, and standards for the acquisition of property or
services required under a Federal award or subaward. The procedures must conform to
the procurement standards identified in CFR § 200.317 through 200.327.
Management agrees with our recommendation and finding and will work to implement a
policy.
The entity has continued to reference specific grant manuals and guidelines as its
written procurement policy.
We recommend management develop and adhere to an internally developed policy for all
procurements using Federally sourced funds.
The Center maintains specific grant manuals and guidelines as its written policies;
however, previous audit identified errors in misapplying grant guidelines among funding
sources. A recommendation was made in previous audit to develop a policy that would
cover all procurements using Federally sourced funds. Such policy was not developed.
Failure to follow appropriate procurement procedures could result in excess procurement
costs being disallowed and subject the entity to possible claims.
All Funding Sources
Significant Deficiency
Reporting
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
Management agrees with our recommendation and finding and will work to ensure each
grant's financial report is reviewed and approved each month.
An entity must have controls in place to ensure that reports for federal awards are
supported by applicable accounting records. Grant activity is tracked in the general
ledger based on grant codes. Internal processes are designed such that the Assistant
Executive Director reviews accuracy of grant reports by comparing to the grant activity
within the general ledger.
During the year we noted certain grant reports did not match the underlying general
ledger data for the same period.
Per discussion with Assistant Executive Director, certain allocation adjustments may be
determined necessary during the preparation of reports that are not being posted
appropriately to the general ledger. In one reporting instance identified, salary
allocations were adjusted to reflect grant related costs; however, this reallocation was not
updated in the ledger.
Inaccurate reporting could result in costs being disallowed and subject the entity to
possible claims.
We recommend reports be reviewed against the general ledger prior to submission, and
any discrepancies should be addressed timely.
All Funding Sources
Significant Deficiency
Procurement
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
An entity must have and use documented procurement policies consistent with Federal,
State, and local laws, regulations, and standards for the acquisition of property or
services required under a Federal award or subaward. The procedures must conform to
the procurement standards identified in CFR § 200.317 through 200.327.
Management agrees with our recommendation and finding and will work to implement a
policy.
The entity has continued to reference specific grant manuals and guidelines as its
written procurement policy.
We recommend management develop and adhere to an internally developed policy for all
procurements using Federally sourced funds.
The Center maintains specific grant manuals and guidelines as its written policies;
however, previous audit identified errors in misapplying grant guidelines among funding
sources. A recommendation was made in previous audit to develop a policy that would
cover all procurements using Federally sourced funds. Such policy was not developed.
Failure to follow appropriate procurement procedures could result in excess procurement
costs being disallowed and subject the entity to possible claims.
All Funding Sources
Significant Deficiency
Reporting
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
Management agrees with our recommendation and finding and will work to ensure each
grant's financial report is reviewed and approved each month.
An entity must have controls in place to ensure that reports for federal awards are
supported by applicable accounting records. Grant activity is tracked in the general
ledger based on grant codes. Internal processes are designed such that the Assistant
Executive Director reviews accuracy of grant reports by comparing to the grant activity
within the general ledger.
During the year we noted certain grant reports did not match the underlying general
ledger data for the same period.
Per discussion with Assistant Executive Director, certain allocation adjustments may be
determined necessary during the preparation of reports that are not being posted
appropriately to the general ledger. In one reporting instance identified, salary
allocations were adjusted to reflect grant related costs; however, this reallocation was not
updated in the ledger.
Inaccurate reporting could result in costs being disallowed and subject the entity to
possible claims.
We recommend reports be reviewed against the general ledger prior to submission, and
any discrepancies should be addressed timely.
All Funding Sources
Significant Deficiency
Procurement
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
An entity must have and use documented procurement policies consistent with Federal,
State, and local laws, regulations, and standards for the acquisition of property or
services required under a Federal award or subaward. The procedures must conform to
the procurement standards identified in CFR § 200.317 through 200.327.
Management agrees with our recommendation and finding and will work to implement a
policy.
The entity has continued to reference specific grant manuals and guidelines as its
written procurement policy.
We recommend management develop and adhere to an internally developed policy for all
procurements using Federally sourced funds.
The Center maintains specific grant manuals and guidelines as its written policies;
however, previous audit identified errors in misapplying grant guidelines among funding
sources. A recommendation was made in previous audit to develop a policy that would
cover all procurements using Federally sourced funds. Such policy was not developed.
Failure to follow appropriate procurement procedures could result in excess procurement
costs being disallowed and subject the entity to possible claims.
All Funding Sources
Significant Deficiency
Reporting
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
Management agrees with our recommendation and finding and will work to ensure each
grant's financial report is reviewed and approved each month.
An entity must have controls in place to ensure that reports for federal awards are
supported by applicable accounting records. Grant activity is tracked in the general
ledger based on grant codes. Internal processes are designed such that the Assistant
Executive Director reviews accuracy of grant reports by comparing to the grant activity
within the general ledger.
During the year we noted certain grant reports did not match the underlying general
ledger data for the same period.
Per discussion with Assistant Executive Director, certain allocation adjustments may be
determined necessary during the preparation of reports that are not being posted
appropriately to the general ledger. In one reporting instance identified, salary
allocations were adjusted to reflect grant related costs; however, this reallocation was not
updated in the ledger.
Inaccurate reporting could result in costs being disallowed and subject the entity to
possible claims.
We recommend reports be reviewed against the general ledger prior to submission, and
any discrepancies should be addressed timely.
All Funding Sources
Significant Deficiency
Procurement
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
An entity must have and use documented procurement policies consistent with Federal,
State, and local laws, regulations, and standards for the acquisition of property or
services required under a Federal award or subaward. The procedures must conform to
the procurement standards identified in CFR § 200.317 through 200.327.
Management agrees with our recommendation and finding and will work to implement a
policy.
The entity has continued to reference specific grant manuals and guidelines as its
written procurement policy.
We recommend management develop and adhere to an internally developed policy for all
procurements using Federally sourced funds.
The Center maintains specific grant manuals and guidelines as its written policies;
however, previous audit identified errors in misapplying grant guidelines among funding
sources. A recommendation was made in previous audit to develop a policy that would
cover all procurements using Federally sourced funds. Such policy was not developed.
Failure to follow appropriate procurement procedures could result in excess procurement
costs being disallowed and subject the entity to possible claims.
All Funding Sources
Significant Deficiency
Reporting
Criteria
Condition
Cause
Effect
Recommendation
Management's Response
Management agrees with our recommendation and finding and will work to ensure each
grant's financial report is reviewed and approved each month.
An entity must have controls in place to ensure that reports for federal awards are
supported by applicable accounting records. Grant activity is tracked in the general
ledger based on grant codes. Internal processes are designed such that the Assistant
Executive Director reviews accuracy of grant reports by comparing to the grant activity
within the general ledger.
During the year we noted certain grant reports did not match the underlying general
ledger data for the same period.
Per discussion with Assistant Executive Director, certain allocation adjustments may be
determined necessary during the preparation of reports that are not being posted
appropriately to the general ledger. In one reporting instance identified, salary
allocations were adjusted to reflect grant related costs; however, this reallocation was not
updated in the ledger.
Inaccurate reporting could result in costs being disallowed and subject the entity to
possible claims.
We recommend reports be reviewed against the general ledger prior to submission, and
any discrepancies should be addressed timely.