Audit 356132

FY End
2022-06-30
Total Expended
$9.86M
Findings
82
Programs
23
Organization: Oregon Coast Community Action (AL)
Year: 2022 Accepted: 2025-05-13

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
560113 2022-008 Material Weakness - AB
560114 2022-008 Material Weakness - AB
560115 2022-008 Material Weakness - AB
560116 2022-008 Material Weakness - AB
560117 2022-008 Material Weakness - AB
560118 2022-008 Material Weakness - AB
560119 2022-009 Material Weakness - F
560120 2022-009 Material Weakness - F
560121 2022-009 Material Weakness - F
560122 2022-009 Material Weakness - F
560123 2022-009 Material Weakness - F
560124 2022-009 Material Weakness - F
560125 2022-010 Significant Deficiency - L
560126 2022-010 Significant Deficiency - L
560127 2022-010 Significant Deficiency - L
560128 2022-010 Significant Deficiency - L
560129 2022-010 Significant Deficiency - L
560130 2022-010 Significant Deficiency - L
560131 2022-011 Significant Deficiency - L
560132 2022-011 Significant Deficiency - L
560133 2022-011 Significant Deficiency - L
560134 2022-011 Significant Deficiency - L
560135 2022-011 Significant Deficiency - L
560136 2022-011 Significant Deficiency - L
560137 2022-012 Material Weakness - ABEH
560138 2022-013 Material Weakness - ABH
560139 2022-014 Material Weakness - GH
560140 2022-014 Material Weakness - GH
560141 2022-014 Material Weakness - GH
560142 2022-014 Material Weakness - GH
560143 2022-014 Material Weakness - GH
560144 2022-015 Material Weakness - E
560145 2022-015 Material Weakness - E
560146 2022-015 Material Weakness - E
560147 2022-015 Material Weakness - E
560148 2022-015 Material Weakness - E
560149 2022-016 Material Weakness - CL
560150 2022-016 Material Weakness - CL
560151 2022-016 Material Weakness - CL
560152 2022-016 Material Weakness - CL
560153 2022-016 Material Weakness - CL
1136555 2022-008 Material Weakness - AB
1136556 2022-008 Material Weakness - AB
1136557 2022-008 Material Weakness - AB
1136558 2022-008 Material Weakness - AB
1136559 2022-008 Material Weakness - AB
1136560 2022-008 Material Weakness - AB
1136561 2022-009 Material Weakness - F
1136562 2022-009 Material Weakness - F
1136563 2022-009 Material Weakness - F
1136564 2022-009 Material Weakness - F
1136565 2022-009 Material Weakness - F
1136566 2022-009 Material Weakness - F
1136567 2022-010 Significant Deficiency - L
1136568 2022-010 Significant Deficiency - L
1136569 2022-010 Significant Deficiency - L
1136570 2022-010 Significant Deficiency - L
1136571 2022-010 Significant Deficiency - L
1136572 2022-010 Significant Deficiency - L
1136573 2022-011 Significant Deficiency - L
1136574 2022-011 Significant Deficiency - L
1136575 2022-011 Significant Deficiency - L
1136576 2022-011 Significant Deficiency - L
1136577 2022-011 Significant Deficiency - L
1136578 2022-011 Significant Deficiency - L
1136579 2022-012 Material Weakness - ABEH
1136580 2022-013 Material Weakness - ABH
1136581 2022-014 Material Weakness - GH
1136582 2022-014 Material Weakness - GH
1136583 2022-014 Material Weakness - GH
1136584 2022-014 Material Weakness - GH
1136585 2022-014 Material Weakness - GH
1136586 2022-015 Material Weakness - E
1136587 2022-015 Material Weakness - E
1136588 2022-015 Material Weakness - E
1136589 2022-015 Material Weakness - E
1136590 2022-015 Material Weakness - E
1136591 2022-016 Material Weakness - CL
1136592 2022-016 Material Weakness - CL
1136593 2022-016 Material Weakness - CL
1136594 2022-016 Material Weakness - CL
1136595 2022-016 Material Weakness - CL

Contacts

Name Title Type
L1BBJA6NWM41 Bonnie Foroudi Auditee
5414357080 Keith Hundley Auditor
No contacts on file

Notes to SEFA

Title: Note 3: BASIS OF PRESENTATION Accounting Policies: This Schedule of Expenditures of Federal (the Schedule) was prepared on the modified accrual basis of accounting. The modified accrual basis differs from the full accrual basis of accounting in that expenditures for property and equipment are expensed when incurred, rather than being capitalized and depreciated over their useful lives, and expenditures for the principal portion of debt service are expensed when incurred, rather than being applied to reduce the outstanding principal portion of debt, which conforms to the basis of reporting to grantors for reimbursement under the terms of the Agency’s federal grants. De Minimis Rate Used: N Rate Explanation: The Agency has not elected to use the 10% de Minimis indirect cost rate for the fiscal year ended June 30, 2022. The accompanying Schedule summarizes the federal expenditures of the Agency under programs of the federal government for the year ended June 30, 2022. The amounts reported as federal grant expenditures were obtained from the Agency’s general ledger. Because the Schedule presents only a selected portion of the operations of the Agency, it is not intended to and does not present the financial position, changes in net assets and cash flows of the Agency. For purposes of the Schedule, federal awards include all grants, contracts, and similar agreements entered into directly with the federal government and other pass through entities. Payments received for goods or services provided as a vendor do not constitute federal awards for purposes of the Schedule. The Agency has obtained Assistance Listing (ALN) numbers to ensure that all programs have been identified in the Schedule. Clusters Federal programs with different ALN numbers that are closely related because they share common compliance requirements are defined as a cluster by the Uniform Guidance. Head Start/Early Head Start (ALN 93.600) is reported as the Head Start Cluster, the Child Care and Development Block Grant (ALN 93.575) is reported as the CCDF Cluster, and the Emergency Food Assistance (ALN 10.568) is reported as the Food Distribution Cluster in the Schedule.
Title: Note 4: RELATIONSHIP OF THE SCHEDULE TO PROGRAM FINANCIAL REPORTS Accounting Policies: This Schedule of Expenditures of Federal (the Schedule) was prepared on the modified accrual basis of accounting. The modified accrual basis differs from the full accrual basis of accounting in that expenditures for property and equipment are expensed when incurred, rather than being capitalized and depreciated over their useful lives, and expenditures for the principal portion of debt service are expensed when incurred, rather than being applied to reduce the outstanding principal portion of debt, which conforms to the basis of reporting to grantors for reimbursement under the terms of the Agency’s federal grants. De Minimis Rate Used: N Rate Explanation: The Agency has not elected to use the 10% de Minimis indirect cost rate for the fiscal year ended June 30, 2022. The amounts reflected in the financial reports submitted to the awarding federal and/or pass-through agencies and the Schedule may differ. Some of the factors that may account for any difference include the following:  The Agency’s fiscal year end may differ from the program’s year end.  Accruals recognized in the Schedule, because of year end procedures, may not be reported in the program financial reports until the next program reporting period.  Fixed asset purchases and the resultant depreciation charges are recognized as fixed assets in the Agency’s financial statements and as expenditures in the program financial reports and the Schedule.
Title: Note 5: FEDERAL PASS-THROUGH FUNDS Accounting Policies: This Schedule of Expenditures of Federal (the Schedule) was prepared on the modified accrual basis of accounting. The modified accrual basis differs from the full accrual basis of accounting in that expenditures for property and equipment are expensed when incurred, rather than being capitalized and depreciated over their useful lives, and expenditures for the principal portion of debt service are expensed when incurred, rather than being applied to reduce the outstanding principal portion of debt, which conforms to the basis of reporting to grantors for reimbursement under the terms of the Agency’s federal grants. De Minimis Rate Used: N Rate Explanation: The Agency has not elected to use the 10% de Minimis indirect cost rate for the fiscal year ended June 30, 2022. The Agency is also the sub-recipient of federal funds that have been subjected to testing and are reported as expenditures and listed as federal pass-through funds. Federal awards other than those indicated as “pass-through” are considered direct.
Title: Note 6: CONTINGENCIES Accounting Policies: This Schedule of Expenditures of Federal (the Schedule) was prepared on the modified accrual basis of accounting. The modified accrual basis differs from the full accrual basis of accounting in that expenditures for property and equipment are expensed when incurred, rather than being capitalized and depreciated over their useful lives, and expenditures for the principal portion of debt service are expensed when incurred, rather than being applied to reduce the outstanding principal portion of debt, which conforms to the basis of reporting to grantors for reimbursement under the terms of the Agency’s federal grants. De Minimis Rate Used: N Rate Explanation: The Agency has not elected to use the 10% de Minimis indirect cost rate for the fiscal year ended June 30, 2022. Grant monies received and disbursed by the Agency are for specific purposes and are subject to review by the grantor agencies. Such audits may result in requests for reimbursement due to disallowed expenditures. Based upon prior experience, the Agency does not believe that such disallowance, if any, would have a material effect on the financial position of the Agency.
Title: Note 7: NONCASH ASSISTANCE Accounting Policies: This Schedule of Expenditures of Federal (the Schedule) was prepared on the modified accrual basis of accounting. The modified accrual basis differs from the full accrual basis of accounting in that expenditures for property and equipment are expensed when incurred, rather than being capitalized and depreciated over their useful lives, and expenditures for the principal portion of debt service are expensed when incurred, rather than being applied to reduce the outstanding principal portion of debt, which conforms to the basis of reporting to grantors for reimbursement under the terms of the Agency’s federal grants. De Minimis Rate Used: N Rate Explanation: The Agency has not elected to use the 10% de Minimis indirect cost rate for the fiscal year ended June 30, 2022. The value of non‐cash commodities received from the federal government in connection with the donated food program is reflected in the accompanying financial statements. The total assigned value of commodities donated was $595,963 for fiscal year 2022.
Title: Note 8: LOANS AND LOAN GUARANTEES Accounting Policies: This Schedule of Expenditures of Federal (the Schedule) was prepared on the modified accrual basis of accounting. The modified accrual basis differs from the full accrual basis of accounting in that expenditures for property and equipment are expensed when incurred, rather than being capitalized and depreciated over their useful lives, and expenditures for the principal portion of debt service are expensed when incurred, rather than being applied to reduce the outstanding principal portion of debt, which conforms to the basis of reporting to grantors for reimbursement under the terms of the Agency’s federal grants. De Minimis Rate Used: N Rate Explanation: The Agency has not elected to use the 10% de Minimis indirect cost rate for the fiscal year ended June 30, 2022. The Agency did not have any loans or loan guarantee programs required to be reported on the schedule for the fiscal year ended June 30, 2022.
Title: Note 9: FEDERALLY FUNDED INSURANCE Accounting Policies: This Schedule of Expenditures of Federal (the Schedule) was prepared on the modified accrual basis of accounting. The modified accrual basis differs from the full accrual basis of accounting in that expenditures for property and equipment are expensed when incurred, rather than being capitalized and depreciated over their useful lives, and expenditures for the principal portion of debt service are expensed when incurred, rather than being applied to reduce the outstanding principal portion of debt, which conforms to the basis of reporting to grantors for reimbursement under the terms of the Agency’s federal grants. De Minimis Rate Used: N Rate Explanation: The Agency has not elected to use the 10% de Minimis indirect cost rate for the fiscal year ended June 30, 2022. The Agency did not have any federally funded insurance required to be reported on the Schedule for the fiscal year ended June 30, 2022.
Title: Note 10: FEDERAL EXPENSES RECLASSED FROM A PRIOR YEAR Accounting Policies: This Schedule of Expenditures of Federal (the Schedule) was prepared on the modified accrual basis of accounting. The modified accrual basis differs from the full accrual basis of accounting in that expenditures for property and equipment are expensed when incurred, rather than being capitalized and depreciated over their useful lives, and expenditures for the principal portion of debt service are expensed when incurred, rather than being applied to reduce the outstanding principal portion of debt, which conforms to the basis of reporting to grantors for reimbursement under the terms of the Agency’s federal grants. De Minimis Rate Used: N Rate Explanation: The Agency has not elected to use the 10% de Minimis indirect cost rate for the fiscal year ended June 30, 2022. The Agency reclassed $42,068 of federal COVID-19 Head Start funds that were reported on the schedule for the year ended June 30, 2021. These expenses were reclassed to expenses of the Head Start grant during the year ended June 30, 2022, both under ALN 93.600.

Finding Details

Activities Allowed or Unallowed/Allowable Costs/Cost Principles Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – Per 2 CFR 200.303, the non-federal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should follow guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR section 200.403 – Factors affecting allowability of costs – Except where otherwise authorized by statute, costs must meet the following general criteria in order to be allowable under Federal awards: paragraph (a) Be necessary and reasonable for the performance of the Federal award and be allocable thereto under these principles; paragraph (g) Be adequately documented. Per 2 CFR section 200.404 – Reasonable costs – A cost is reasonable if, in its nature and amount, it does not exceed that which would be incurred by a prudent person under the circumstances prevailing at the time the decision was made to incur the cost. Per 2 CFR section 200.405 – Allocable costs –focuses on how costs are allocable, ensuring they are directly tied to the federal award or its benefits. Per 2 CFR 200.430(i), charges to Federal awards for salaries and wages must be based on records that are supported by a system of internal control that provides reasonable assurance that the charges are accurate, allowable, and properly allocated and that are incorporated into the official records of the non-Federal entity. Condition – The following exceptions were noted during testing of 138 program disbursements, 93 payroll disbursements, and 100 journal entry transactions: • 20 invoices could not be located related to program disbursements • 6 invoices tested did not agree to the approved allocation of Head Start expenses • 1 timecard could not be located • multiple instances where an approved pay rate covering the appropriate time-period could not be obtained • 12 instances where supporting documentation for journal entries to adjust Head Start expenses could not be obtained. Cause – Turnover in staff and the passage of time since the period under audit has caused documentation to be misplaced. Effect – Inadequate or inconsistent documentation of expenses may result in erroneous or fraudulent transactions occurring, loss of funding, or disallowed costs. Questioned Costs – $151,608. Recommendation – Documentation should be prepared, reviewed, and retained to support the expense. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Activities Allowed or Unallowed/Allowable Costs/Cost Principles Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – Per 2 CFR 200.303, the non-federal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should follow guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR section 200.403 – Factors affecting allowability of costs – Except where otherwise authorized by statute, costs must meet the following general criteria in order to be allowable under Federal awards: paragraph (a) Be necessary and reasonable for the performance of the Federal award and be allocable thereto under these principles; paragraph (g) Be adequately documented. Per 2 CFR section 200.404 – Reasonable costs – A cost is reasonable if, in its nature and amount, it does not exceed that which would be incurred by a prudent person under the circumstances prevailing at the time the decision was made to incur the cost. Per 2 CFR section 200.405 – Allocable costs –focuses on how costs are allocable, ensuring they are directly tied to the federal award or its benefits. Per 2 CFR 200.430(i), charges to Federal awards for salaries and wages must be based on records that are supported by a system of internal control that provides reasonable assurance that the charges are accurate, allowable, and properly allocated and that are incorporated into the official records of the non-Federal entity. Condition – The following exceptions were noted during testing of 138 program disbursements, 93 payroll disbursements, and 100 journal entry transactions: • 20 invoices could not be located related to program disbursements • 6 invoices tested did not agree to the approved allocation of Head Start expenses • 1 timecard could not be located • multiple instances where an approved pay rate covering the appropriate time-period could not be obtained • 12 instances where supporting documentation for journal entries to adjust Head Start expenses could not be obtained. Cause – Turnover in staff and the passage of time since the period under audit has caused documentation to be misplaced. Effect – Inadequate or inconsistent documentation of expenses may result in erroneous or fraudulent transactions occurring, loss of funding, or disallowed costs. Questioned Costs – $151,608. Recommendation – Documentation should be prepared, reviewed, and retained to support the expense. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Activities Allowed or Unallowed/Allowable Costs/Cost Principles Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – Per 2 CFR 200.303, the non-federal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should follow guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR section 200.403 – Factors affecting allowability of costs – Except where otherwise authorized by statute, costs must meet the following general criteria in order to be allowable under Federal awards: paragraph (a) Be necessary and reasonable for the performance of the Federal award and be allocable thereto under these principles; paragraph (g) Be adequately documented. Per 2 CFR section 200.404 – Reasonable costs – A cost is reasonable if, in its nature and amount, it does not exceed that which would be incurred by a prudent person under the circumstances prevailing at the time the decision was made to incur the cost. Per 2 CFR section 200.405 – Allocable costs –focuses on how costs are allocable, ensuring they are directly tied to the federal award or its benefits. Per 2 CFR 200.430(i), charges to Federal awards for salaries and wages must be based on records that are supported by a system of internal control that provides reasonable assurance that the charges are accurate, allowable, and properly allocated and that are incorporated into the official records of the non-Federal entity. Condition – The following exceptions were noted during testing of 138 program disbursements, 93 payroll disbursements, and 100 journal entry transactions: • 20 invoices could not be located related to program disbursements • 6 invoices tested did not agree to the approved allocation of Head Start expenses • 1 timecard could not be located • multiple instances where an approved pay rate covering the appropriate time-period could not be obtained • 12 instances where supporting documentation for journal entries to adjust Head Start expenses could not be obtained. Cause – Turnover in staff and the passage of time since the period under audit has caused documentation to be misplaced. Effect – Inadequate or inconsistent documentation of expenses may result in erroneous or fraudulent transactions occurring, loss of funding, or disallowed costs. Questioned Costs – $151,608. Recommendation – Documentation should be prepared, reviewed, and retained to support the expense. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Activities Allowed or Unallowed/Allowable Costs/Cost Principles Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – Per 2 CFR 200.303, the non-federal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should follow guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR section 200.403 – Factors affecting allowability of costs – Except where otherwise authorized by statute, costs must meet the following general criteria in order to be allowable under Federal awards: paragraph (a) Be necessary and reasonable for the performance of the Federal award and be allocable thereto under these principles; paragraph (g) Be adequately documented. Per 2 CFR section 200.404 – Reasonable costs – A cost is reasonable if, in its nature and amount, it does not exceed that which would be incurred by a prudent person under the circumstances prevailing at the time the decision was made to incur the cost. Per 2 CFR section 200.405 – Allocable costs –focuses on how costs are allocable, ensuring they are directly tied to the federal award or its benefits. Per 2 CFR 200.430(i), charges to Federal awards for salaries and wages must be based on records that are supported by a system of internal control that provides reasonable assurance that the charges are accurate, allowable, and properly allocated and that are incorporated into the official records of the non-Federal entity. Condition – The following exceptions were noted during testing of 138 program disbursements, 93 payroll disbursements, and 100 journal entry transactions: • 20 invoices could not be located related to program disbursements • 6 invoices tested did not agree to the approved allocation of Head Start expenses • 1 timecard could not be located • multiple instances where an approved pay rate covering the appropriate time-period could not be obtained • 12 instances where supporting documentation for journal entries to adjust Head Start expenses could not be obtained. Cause – Turnover in staff and the passage of time since the period under audit has caused documentation to be misplaced. Effect – Inadequate or inconsistent documentation of expenses may result in erroneous or fraudulent transactions occurring, loss of funding, or disallowed costs. Questioned Costs – $151,608. Recommendation – Documentation should be prepared, reviewed, and retained to support the expense. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Activities Allowed or Unallowed/Allowable Costs/Cost Principles Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – Per 2 CFR 200.303, the non-federal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should follow guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR section 200.403 – Factors affecting allowability of costs – Except where otherwise authorized by statute, costs must meet the following general criteria in order to be allowable under Federal awards: paragraph (a) Be necessary and reasonable for the performance of the Federal award and be allocable thereto under these principles; paragraph (g) Be adequately documented. Per 2 CFR section 200.404 – Reasonable costs – A cost is reasonable if, in its nature and amount, it does not exceed that which would be incurred by a prudent person under the circumstances prevailing at the time the decision was made to incur the cost. Per 2 CFR section 200.405 – Allocable costs –focuses on how costs are allocable, ensuring they are directly tied to the federal award or its benefits. Per 2 CFR 200.430(i), charges to Federal awards for salaries and wages must be based on records that are supported by a system of internal control that provides reasonable assurance that the charges are accurate, allowable, and properly allocated and that are incorporated into the official records of the non-Federal entity. Condition – The following exceptions were noted during testing of 138 program disbursements, 93 payroll disbursements, and 100 journal entry transactions: • 20 invoices could not be located related to program disbursements • 6 invoices tested did not agree to the approved allocation of Head Start expenses • 1 timecard could not be located • multiple instances where an approved pay rate covering the appropriate time-period could not be obtained • 12 instances where supporting documentation for journal entries to adjust Head Start expenses could not be obtained. Cause – Turnover in staff and the passage of time since the period under audit has caused documentation to be misplaced. Effect – Inadequate or inconsistent documentation of expenses may result in erroneous or fraudulent transactions occurring, loss of funding, or disallowed costs. Questioned Costs – $151,608. Recommendation – Documentation should be prepared, reviewed, and retained to support the expense. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Activities Allowed or Unallowed/Allowable Costs/Cost Principles Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – Per 2 CFR 200.303, the non-federal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should follow guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR section 200.403 – Factors affecting allowability of costs – Except where otherwise authorized by statute, costs must meet the following general criteria in order to be allowable under Federal awards: paragraph (a) Be necessary and reasonable for the performance of the Federal award and be allocable thereto under these principles; paragraph (g) Be adequately documented. Per 2 CFR section 200.404 – Reasonable costs – A cost is reasonable if, in its nature and amount, it does not exceed that which would be incurred by a prudent person under the circumstances prevailing at the time the decision was made to incur the cost. Per 2 CFR section 200.405 – Allocable costs –focuses on how costs are allocable, ensuring they are directly tied to the federal award or its benefits. Per 2 CFR 200.430(i), charges to Federal awards for salaries and wages must be based on records that are supported by a system of internal control that provides reasonable assurance that the charges are accurate, allowable, and properly allocated and that are incorporated into the official records of the non-Federal entity. Condition – The following exceptions were noted during testing of 138 program disbursements, 93 payroll disbursements, and 100 journal entry transactions: • 20 invoices could not be located related to program disbursements • 6 invoices tested did not agree to the approved allocation of Head Start expenses • 1 timecard could not be located • multiple instances where an approved pay rate covering the appropriate time-period could not be obtained • 12 instances where supporting documentation for journal entries to adjust Head Start expenses could not be obtained. Cause – Turnover in staff and the passage of time since the period under audit has caused documentation to be misplaced. Effect – Inadequate or inconsistent documentation of expenses may result in erroneous or fraudulent transactions occurring, loss of funding, or disallowed costs. Questioned Costs – $151,608. Recommendation – Documentation should be prepared, reviewed, and retained to support the expense. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Equipment/Real Property Management Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR 200.439(d)(1) requires that property records must be maintained for equipment acquired under a federal award that include a description of the property, a serial number or other identification number, the source of funding for the property (including the FAIN), who holds title, the acquisition date, and cost of the property, percentage of federal participation in the project costs for the federal award under which the property was acquired, the location, use and condition of the property, and any ultimate disposition data including the date of disposal and sale price of the property. A physical inventory of the property must be taken and the results reconciled with the property records at least once every two years. Condition – During testing it was noted that the Inventory tracking sheet did not contain all assets with federal interest under the Head Start program. It was also noted that there were items not included in the physical inventory observation taken. Cause – The Agency did not properly include all additions in the current year to the fixed asset schedule, which resulted in a lack of proper property records and missing physical inventory observation was made for assets included on properly records. Effect – Failure to include all items and take a full physical inventory observation could result in noncompliance with the grant agreements. Questioned Costs – Not applicable. Recommendation – We recommend the Agency follow its capital asset management policy to ensure all assets are adequately accounted for and properly safeguarded. CRI also recommends that the Agency include all of the information required by the Uniform Guidance in one central tracking spreadsheet or database. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Equipment/Real Property Management Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR 200.439(d)(1) requires that property records must be maintained for equipment acquired under a federal award that include a description of the property, a serial number or other identification number, the source of funding for the property (including the FAIN), who holds title, the acquisition date, and cost of the property, percentage of federal participation in the project costs for the federal award under which the property was acquired, the location, use and condition of the property, and any ultimate disposition data including the date of disposal and sale price of the property. A physical inventory of the property must be taken and the results reconciled with the property records at least once every two years. Condition – During testing it was noted that the Inventory tracking sheet did not contain all assets with federal interest under the Head Start program. It was also noted that there were items not included in the physical inventory observation taken. Cause – The Agency did not properly include all additions in the current year to the fixed asset schedule, which resulted in a lack of proper property records and missing physical inventory observation was made for assets included on properly records. Effect – Failure to include all items and take a full physical inventory observation could result in noncompliance with the grant agreements. Questioned Costs – Not applicable. Recommendation – We recommend the Agency follow its capital asset management policy to ensure all assets are adequately accounted for and properly safeguarded. CRI also recommends that the Agency include all of the information required by the Uniform Guidance in one central tracking spreadsheet or database. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Equipment/Real Property Management Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR 200.439(d)(1) requires that property records must be maintained for equipment acquired under a federal award that include a description of the property, a serial number or other identification number, the source of funding for the property (including the FAIN), who holds title, the acquisition date, and cost of the property, percentage of federal participation in the project costs for the federal award under which the property was acquired, the location, use and condition of the property, and any ultimate disposition data including the date of disposal and sale price of the property. A physical inventory of the property must be taken and the results reconciled with the property records at least once every two years. Condition – During testing it was noted that the Inventory tracking sheet did not contain all assets with federal interest under the Head Start program. It was also noted that there were items not included in the physical inventory observation taken. Cause – The Agency did not properly include all additions in the current year to the fixed asset schedule, which resulted in a lack of proper property records and missing physical inventory observation was made for assets included on properly records. Effect – Failure to include all items and take a full physical inventory observation could result in noncompliance with the grant agreements. Questioned Costs – Not applicable. Recommendation – We recommend the Agency follow its capital asset management policy to ensure all assets are adequately accounted for and properly safeguarded. CRI also recommends that the Agency include all of the information required by the Uniform Guidance in one central tracking spreadsheet or database. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Equipment/Real Property Management Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR 200.439(d)(1) requires that property records must be maintained for equipment acquired under a federal award that include a description of the property, a serial number or other identification number, the source of funding for the property (including the FAIN), who holds title, the acquisition date, and cost of the property, percentage of federal participation in the project costs for the federal award under which the property was acquired, the location, use and condition of the property, and any ultimate disposition data including the date of disposal and sale price of the property. A physical inventory of the property must be taken and the results reconciled with the property records at least once every two years. Condition – During testing it was noted that the Inventory tracking sheet did not contain all assets with federal interest under the Head Start program. It was also noted that there were items not included in the physical inventory observation taken. Cause – The Agency did not properly include all additions in the current year to the fixed asset schedule, which resulted in a lack of proper property records and missing physical inventory observation was made for assets included on properly records. Effect – Failure to include all items and take a full physical inventory observation could result in noncompliance with the grant agreements. Questioned Costs – Not applicable. Recommendation – We recommend the Agency follow its capital asset management policy to ensure all assets are adequately accounted for and properly safeguarded. CRI also recommends that the Agency include all of the information required by the Uniform Guidance in one central tracking spreadsheet or database. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Equipment/Real Property Management Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR 200.439(d)(1) requires that property records must be maintained for equipment acquired under a federal award that include a description of the property, a serial number or other identification number, the source of funding for the property (including the FAIN), who holds title, the acquisition date, and cost of the property, percentage of federal participation in the project costs for the federal award under which the property was acquired, the location, use and condition of the property, and any ultimate disposition data including the date of disposal and sale price of the property. A physical inventory of the property must be taken and the results reconciled with the property records at least once every two years. Condition – During testing it was noted that the Inventory tracking sheet did not contain all assets with federal interest under the Head Start program. It was also noted that there were items not included in the physical inventory observation taken. Cause – The Agency did not properly include all additions in the current year to the fixed asset schedule, which resulted in a lack of proper property records and missing physical inventory observation was made for assets included on properly records. Effect – Failure to include all items and take a full physical inventory observation could result in noncompliance with the grant agreements. Questioned Costs – Not applicable. Recommendation – We recommend the Agency follow its capital asset management policy to ensure all assets are adequately accounted for and properly safeguarded. CRI also recommends that the Agency include all of the information required by the Uniform Guidance in one central tracking spreadsheet or database. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Equipment/Real Property Management Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR 200.439(d)(1) requires that property records must be maintained for equipment acquired under a federal award that include a description of the property, a serial number or other identification number, the source of funding for the property (including the FAIN), who holds title, the acquisition date, and cost of the property, percentage of federal participation in the project costs for the federal award under which the property was acquired, the location, use and condition of the property, and any ultimate disposition data including the date of disposal and sale price of the property. A physical inventory of the property must be taken and the results reconciled with the property records at least once every two years. Condition – During testing it was noted that the Inventory tracking sheet did not contain all assets with federal interest under the Head Start program. It was also noted that there were items not included in the physical inventory observation taken. Cause – The Agency did not properly include all additions in the current year to the fixed asset schedule, which resulted in a lack of proper property records and missing physical inventory observation was made for assets included on properly records. Effect – Failure to include all items and take a full physical inventory observation could result in noncompliance with the grant agreements. Questioned Costs – Not applicable. Recommendation – We recommend the Agency follow its capital asset management policy to ensure all assets are adequately accounted for and properly safeguarded. CRI also recommends that the Agency include all of the information required by the Uniform Guidance in one central tracking spreadsheet or database. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Financial Reporting Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. 2 CFR section 200.302(b))3) requires that nonfederal entities keep records that include info: pertaining to Federal awards, authorizations, financial obligations, unobligated balances, assets, expenditures, income and interest and be supported by source documentation Condition – The Organization did not maintain proper documentation in support of financial reporting requirements. Cause – Supporting records used to populate the required financial reporting were not retained by the Agency. Effect – The agency could submit incorrect information. Questioned Costs – Not applicable. Recommendation – Documentation should be prepared, reviewed, and retained to support the required reporting. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Financial Reporting Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. 2 CFR section 200.302(b))3) requires that nonfederal entities keep records that include info: pertaining to Federal awards, authorizations, financial obligations, unobligated balances, assets, expenditures, income and interest and be supported by source documentation Condition – The Organization did not maintain proper documentation in support of financial reporting requirements. Cause – Supporting records used to populate the required financial reporting were not retained by the Agency. Effect – The agency could submit incorrect information. Questioned Costs – Not applicable. Recommendation – Documentation should be prepared, reviewed, and retained to support the required reporting. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Financial Reporting Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. 2 CFR section 200.302(b))3) requires that nonfederal entities keep records that include info: pertaining to Federal awards, authorizations, financial obligations, unobligated balances, assets, expenditures, income and interest and be supported by source documentation Condition – The Organization did not maintain proper documentation in support of financial reporting requirements. Cause – Supporting records used to populate the required financial reporting were not retained by the Agency. Effect – The agency could submit incorrect information. Questioned Costs – Not applicable. Recommendation – Documentation should be prepared, reviewed, and retained to support the required reporting. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Financial Reporting Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. 2 CFR section 200.302(b))3) requires that nonfederal entities keep records that include info: pertaining to Federal awards, authorizations, financial obligations, unobligated balances, assets, expenditures, income and interest and be supported by source documentation Condition – The Organization did not maintain proper documentation in support of financial reporting requirements. Cause – Supporting records used to populate the required financial reporting were not retained by the Agency. Effect – The agency could submit incorrect information. Questioned Costs – Not applicable. Recommendation – Documentation should be prepared, reviewed, and retained to support the required reporting. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Financial Reporting Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. 2 CFR section 200.302(b))3) requires that nonfederal entities keep records that include info: pertaining to Federal awards, authorizations, financial obligations, unobligated balances, assets, expenditures, income and interest and be supported by source documentation Condition – The Organization did not maintain proper documentation in support of financial reporting requirements. Cause – Supporting records used to populate the required financial reporting were not retained by the Agency. Effect – The agency could submit incorrect information. Questioned Costs – Not applicable. Recommendation – Documentation should be prepared, reviewed, and retained to support the required reporting. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Financial Reporting Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. 2 CFR section 200.302(b))3) requires that nonfederal entities keep records that include info: pertaining to Federal awards, authorizations, financial obligations, unobligated balances, assets, expenditures, income and interest and be supported by source documentation Condition – The Organization did not maintain proper documentation in support of financial reporting requirements. Cause – Supporting records used to populate the required financial reporting were not retained by the Agency. Effect – The agency could submit incorrect information. Questioned Costs – Not applicable. Recommendation – Documentation should be prepared, reviewed, and retained to support the required reporting. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Special Reporting Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. Also, under compliance requirements for reporting 2 CFR 200.32 states that information must be collected with the frequency required by the terms and conditions of the federal award for effective monitoring of the federal awards. 2 CFR 200.330, Reporting on Real Property: The Federal awarding agency or pass-through entity must require a non-Federal entity to submit reports at least annually on the status of real property in which the Federal Government retains an interest. As described in ACF-IM-HS-17-01 Facilities Guidance, all grantees, including those with no covered real property, are instructed to use and submit standard form (SF) Real Property Status Report 429. Condition – The SF-429 required to be filed for Head Start was submitted after the deadline. Cause – The Agency did not apply appropriate controls to ensure that all reporting required under the terms of the grant were filed timely. Effect – Late reporting to the grantor can result in sanctions or loss of future funding. Questioned Costs – Not applicable. Recommendation – Management should implement the necessary controls to ensure all reporting required under the grant is filed accurately and timely. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Special Reporting Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. Also, under compliance requirements for reporting 2 CFR 200.32 states that information must be collected with the frequency required by the terms and conditions of the federal award for effective monitoring of the federal awards. 2 CFR 200.330, Reporting on Real Property: The Federal awarding agency or pass-through entity must require a non-Federal entity to submit reports at least annually on the status of real property in which the Federal Government retains an interest. As described in ACF-IM-HS-17-01 Facilities Guidance, all grantees, including those with no covered real property, are instructed to use and submit standard form (SF) Real Property Status Report 429. Condition – The SF-429 required to be filed for Head Start was submitted after the deadline. Cause – The Agency did not apply appropriate controls to ensure that all reporting required under the terms of the grant were filed timely. Effect – Late reporting to the grantor can result in sanctions or loss of future funding. Questioned Costs – Not applicable. Recommendation – Management should implement the necessary controls to ensure all reporting required under the grant is filed accurately and timely. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Special Reporting Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. Also, under compliance requirements for reporting 2 CFR 200.32 states that information must be collected with the frequency required by the terms and conditions of the federal award for effective monitoring of the federal awards. 2 CFR 200.330, Reporting on Real Property: The Federal awarding agency or pass-through entity must require a non-Federal entity to submit reports at least annually on the status of real property in which the Federal Government retains an interest. As described in ACF-IM-HS-17-01 Facilities Guidance, all grantees, including those with no covered real property, are instructed to use and submit standard form (SF) Real Property Status Report 429. Condition – The SF-429 required to be filed for Head Start was submitted after the deadline. Cause – The Agency did not apply appropriate controls to ensure that all reporting required under the terms of the grant were filed timely. Effect – Late reporting to the grantor can result in sanctions or loss of future funding. Questioned Costs – Not applicable. Recommendation – Management should implement the necessary controls to ensure all reporting required under the grant is filed accurately and timely. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Special Reporting Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. Also, under compliance requirements for reporting 2 CFR 200.32 states that information must be collected with the frequency required by the terms and conditions of the federal award for effective monitoring of the federal awards. 2 CFR 200.330, Reporting on Real Property: The Federal awarding agency or pass-through entity must require a non-Federal entity to submit reports at least annually on the status of real property in which the Federal Government retains an interest. As described in ACF-IM-HS-17-01 Facilities Guidance, all grantees, including those with no covered real property, are instructed to use and submit standard form (SF) Real Property Status Report 429. Condition – The SF-429 required to be filed for Head Start was submitted after the deadline. Cause – The Agency did not apply appropriate controls to ensure that all reporting required under the terms of the grant were filed timely. Effect – Late reporting to the grantor can result in sanctions or loss of future funding. Questioned Costs – Not applicable. Recommendation – Management should implement the necessary controls to ensure all reporting required under the grant is filed accurately and timely. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Special Reporting Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. Also, under compliance requirements for reporting 2 CFR 200.32 states that information must be collected with the frequency required by the terms and conditions of the federal award for effective monitoring of the federal awards. 2 CFR 200.330, Reporting on Real Property: The Federal awarding agency or pass-through entity must require a non-Federal entity to submit reports at least annually on the status of real property in which the Federal Government retains an interest. As described in ACF-IM-HS-17-01 Facilities Guidance, all grantees, including those with no covered real property, are instructed to use and submit standard form (SF) Real Property Status Report 429. Condition – The SF-429 required to be filed for Head Start was submitted after the deadline. Cause – The Agency did not apply appropriate controls to ensure that all reporting required under the terms of the grant were filed timely. Effect – Late reporting to the grantor can result in sanctions or loss of future funding. Questioned Costs – Not applicable. Recommendation – Management should implement the necessary controls to ensure all reporting required under the grant is filed accurately and timely. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Special Reporting Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. Also, under compliance requirements for reporting 2 CFR 200.32 states that information must be collected with the frequency required by the terms and conditions of the federal award for effective monitoring of the federal awards. 2 CFR 200.330, Reporting on Real Property: The Federal awarding agency or pass-through entity must require a non-Federal entity to submit reports at least annually on the status of real property in which the Federal Government retains an interest. As described in ACF-IM-HS-17-01 Facilities Guidance, all grantees, including those with no covered real property, are instructed to use and submit standard form (SF) Real Property Status Report 429. Condition – The SF-429 required to be filed for Head Start was submitted after the deadline. Cause – The Agency did not apply appropriate controls to ensure that all reporting required under the terms of the grant were filed timely. Effect – Late reporting to the grantor can result in sanctions or loss of future funding. Questioned Costs – Not applicable. Recommendation – Management should implement the necessary controls to ensure all reporting required under the grant is filed accurately and timely. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Activities Allowed/Allowable Costs/Costs Principles, Eligibility, Period of Performance Emergency Rental Assistance ALN# 21.023 US Department of the Treasury Passed through Oregon Housing and Community Services Federal Grant/Contract Number: ERA000 Grant period – 2022 Criteria – 2 CFR 200.303 requires non-Federal entities to establish and maintain effective internal controls over Federal awards, including the requirements for allowable costs, activities allowed, beneficiary eligibility, and period of performance. For the Emergency Rental Assistance Program, specific requirements are laid out in Section 501 of Division N of the Consolidated Appropriations Act, 2021, 2 CFR Part 200, Subpart E, federal awarding agency regulations, and the terms and conditions of the award. Condition – In our sample of 100 items, we noted the following exceptions: • 2 instances where client applications nor check requests could be produced • 2 instances where client applications could not be produced • 1 instance where the risk of housing status was not properly documented. Cause – Supporting applications and/or required documentation was not retained by the Agency to substantiate eligibility, allowable costs, activities allowed, and period of performance for benefit services rendered. Effect – Failure to properly document eligibility determinations and benefit amounts could result in improper payments and disallowed costs. Questioned Costs – $ 137,567. Recommendation – Documentation should be prepared, reviewed, and retained to support the allowable costs, activities allowed, eligibility, and period of performance for benefits paid to individuals for services. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Activities Allowed/Allowable Costs/Costs Principles, Period of Performance Emergency Rental Assistance ALN# 21.023 US Department of the Treasury Passed through Oregon Housing and Community Services Federal Grant/Contract Number: ERA000 Grant period – 2022 Criteria – Per 2 CFR 200.303, the non-federal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition – In our sample of 100 items, we noted the following exceptions: • 13 instances where the check request used to identify approval of the disbursement could not be located • 1 instance where the request was not signed by the supervisor Cause – Supporting check request documentation relevant to verify that proper approval controls had been performed could not be obtained. Effect – Expenses not relevant to the fund or client benefits could be paid without approval. Expenses could be in excess of costs that client was eligible for or could be outside of the period of performance. Questioned Costs – Not applicable. Recommendation – Documentation should be prepared, reviewed, and retained to support the allowable costs, activities allowed, eligibility, and period of performance for benefits paid to individuals for services. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Period of Performance and Earmarking Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (1) Assure that program funds are used only for program services consistent with program requirements. (3) Ensure that program funds are expended within the time limitations set by OHCS. Program funds not expended within the time period may be recaptured by OHCS. (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (10) Maintain accurate financial records satisfactory to the department, which document, among other things, the receipt and disbursement of all funds provided through the program by the department; and have an accounting system in place satisfactory to the department, which meets, among other things, generally accepted accounting principles. Condition – Our testing noted the following exceptions: • 22 instances where check request and invoice could not be produced from a sample of 62 • 4 instances where the journal entry and corresponding back up could not be produced from a sample of 23. Moreover, $809,022 of costs associated with benefit services provided were not captured by the Agency. These amounts were noted during the review of Eligibility. However, these costs were noted by batches uploaded to the pass-through entity of the client. A detail of the expenses as it relates to payment of the disbursements to vendors could not be obtained and therefore not tested. These amounts represented benefit payments to individuals. A detail of the expenses was not available, as records supporting the batches under which reimbursement was requested were not retained. As a result, the auditors were unable to test these payments. We were unable to obtain sufficient, appropriate audit evidence related to these amounts. Cause – Supporting invoices or required documentation were not retained by the Agency to substantiate period of performance and earmarking costs. The Agency was not properly accounting for expenses incurred during the correct period. Effect – Expenditures could be made outside of the period of performance or costs could be captured incorrectly resulting in noncompliance with earmarking. Not properly recording the expenditures could result in expenditures being booked in the wrong grant period. Questioned Costs – $ 258,313, based on the populations sampled. An additional $809,022 was not recorded properly and was not able to be tested. Recommendation – Documentation should be prepared, reviewed, and retained to support the period of performance and earmarking. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. The Agency should review applications for when benefit was incurred to ensure that expenses are recorded in the proper period as opposed to when paid. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Period of Performance and Earmarking Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (1) Assure that program funds are used only for program services consistent with program requirements. (3) Ensure that program funds are expended within the time limitations set by OHCS. Program funds not expended within the time period may be recaptured by OHCS. (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (10) Maintain accurate financial records satisfactory to the department, which document, among other things, the receipt and disbursement of all funds provided through the program by the department; and have an accounting system in place satisfactory to the department, which meets, among other things, generally accepted accounting principles. Condition – Our testing noted the following exceptions: • 22 instances where check request and invoice could not be produced from a sample of 62 • 4 instances where the journal entry and corresponding back up could not be produced from a sample of 23. Moreover, $809,022 of costs associated with benefit services provided were not captured by the Agency. These amounts were noted during the review of Eligibility. However, these costs were noted by batches uploaded to the pass-through entity of the client. A detail of the expenses as it relates to payment of the disbursements to vendors could not be obtained and therefore not tested. These amounts represented benefit payments to individuals. A detail of the expenses was not available, as records supporting the batches under which reimbursement was requested were not retained. As a result, the auditors were unable to test these payments. We were unable to obtain sufficient, appropriate audit evidence related to these amounts. Cause – Supporting invoices or required documentation were not retained by the Agency to substantiate period of performance and earmarking costs. The Agency was not properly accounting for expenses incurred during the correct period. Effect – Expenditures could be made outside of the period of performance or costs could be captured incorrectly resulting in noncompliance with earmarking. Not properly recording the expenditures could result in expenditures being booked in the wrong grant period. Questioned Costs – $ 258,313, based on the populations sampled. An additional $809,022 was not recorded properly and was not able to be tested. Recommendation – Documentation should be prepared, reviewed, and retained to support the period of performance and earmarking. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. The Agency should review applications for when benefit was incurred to ensure that expenses are recorded in the proper period as opposed to when paid. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Period of Performance and Earmarking Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (1) Assure that program funds are used only for program services consistent with program requirements. (3) Ensure that program funds are expended within the time limitations set by OHCS. Program funds not expended within the time period may be recaptured by OHCS. (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (10) Maintain accurate financial records satisfactory to the department, which document, among other things, the receipt and disbursement of all funds provided through the program by the department; and have an accounting system in place satisfactory to the department, which meets, among other things, generally accepted accounting principles. Condition – Our testing noted the following exceptions: • 22 instances where check request and invoice could not be produced from a sample of 62 • 4 instances where the journal entry and corresponding back up could not be produced from a sample of 23. Moreover, $809,022 of costs associated with benefit services provided were not captured by the Agency. These amounts were noted during the review of Eligibility. However, these costs were noted by batches uploaded to the pass-through entity of the client. A detail of the expenses as it relates to payment of the disbursements to vendors could not be obtained and therefore not tested. These amounts represented benefit payments to individuals. A detail of the expenses was not available, as records supporting the batches under which reimbursement was requested were not retained. As a result, the auditors were unable to test these payments. We were unable to obtain sufficient, appropriate audit evidence related to these amounts. Cause – Supporting invoices or required documentation were not retained by the Agency to substantiate period of performance and earmarking costs. The Agency was not properly accounting for expenses incurred during the correct period. Effect – Expenditures could be made outside of the period of performance or costs could be captured incorrectly resulting in noncompliance with earmarking. Not properly recording the expenditures could result in expenditures being booked in the wrong grant period. Questioned Costs – $ 258,313, based on the populations sampled. An additional $809,022 was not recorded properly and was not able to be tested. Recommendation – Documentation should be prepared, reviewed, and retained to support the period of performance and earmarking. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. The Agency should review applications for when benefit was incurred to ensure that expenses are recorded in the proper period as opposed to when paid. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Period of Performance and Earmarking Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (1) Assure that program funds are used only for program services consistent with program requirements. (3) Ensure that program funds are expended within the time limitations set by OHCS. Program funds not expended within the time period may be recaptured by OHCS. (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (10) Maintain accurate financial records satisfactory to the department, which document, among other things, the receipt and disbursement of all funds provided through the program by the department; and have an accounting system in place satisfactory to the department, which meets, among other things, generally accepted accounting principles. Condition – Our testing noted the following exceptions: • 22 instances where check request and invoice could not be produced from a sample of 62 • 4 instances where the journal entry and corresponding back up could not be produced from a sample of 23. Moreover, $809,022 of costs associated with benefit services provided were not captured by the Agency. These amounts were noted during the review of Eligibility. However, these costs were noted by batches uploaded to the pass-through entity of the client. A detail of the expenses as it relates to payment of the disbursements to vendors could not be obtained and therefore not tested. These amounts represented benefit payments to individuals. A detail of the expenses was not available, as records supporting the batches under which reimbursement was requested were not retained. As a result, the auditors were unable to test these payments. We were unable to obtain sufficient, appropriate audit evidence related to these amounts. Cause – Supporting invoices or required documentation were not retained by the Agency to substantiate period of performance and earmarking costs. The Agency was not properly accounting for expenses incurred during the correct period. Effect – Expenditures could be made outside of the period of performance or costs could be captured incorrectly resulting in noncompliance with earmarking. Not properly recording the expenditures could result in expenditures being booked in the wrong grant period. Questioned Costs – $ 258,313, based on the populations sampled. An additional $809,022 was not recorded properly and was not able to be tested. Recommendation – Documentation should be prepared, reviewed, and retained to support the period of performance and earmarking. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. The Agency should review applications for when benefit was incurred to ensure that expenses are recorded in the proper period as opposed to when paid. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Period of Performance and Earmarking Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (1) Assure that program funds are used only for program services consistent with program requirements. (3) Ensure that program funds are expended within the time limitations set by OHCS. Program funds not expended within the time period may be recaptured by OHCS. (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (10) Maintain accurate financial records satisfactory to the department, which document, among other things, the receipt and disbursement of all funds provided through the program by the department; and have an accounting system in place satisfactory to the department, which meets, among other things, generally accepted accounting principles. Condition – Our testing noted the following exceptions: • 22 instances where check request and invoice could not be produced from a sample of 62 • 4 instances where the journal entry and corresponding back up could not be produced from a sample of 23. Moreover, $809,022 of costs associated with benefit services provided were not captured by the Agency. These amounts were noted during the review of Eligibility. However, these costs were noted by batches uploaded to the pass-through entity of the client. A detail of the expenses as it relates to payment of the disbursements to vendors could not be obtained and therefore not tested. These amounts represented benefit payments to individuals. A detail of the expenses was not available, as records supporting the batches under which reimbursement was requested were not retained. As a result, the auditors were unable to test these payments. We were unable to obtain sufficient, appropriate audit evidence related to these amounts. Cause – Supporting invoices or required documentation were not retained by the Agency to substantiate period of performance and earmarking costs. The Agency was not properly accounting for expenses incurred during the correct period. Effect – Expenditures could be made outside of the period of performance or costs could be captured incorrectly resulting in noncompliance with earmarking. Not properly recording the expenditures could result in expenditures being booked in the wrong grant period. Questioned Costs – $ 258,313, based on the populations sampled. An additional $809,022 was not recorded properly and was not able to be tested. Recommendation – Documentation should be prepared, reviewed, and retained to support the period of performance and earmarking. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. The Agency should review applications for when benefit was incurred to ensure that expenses are recorded in the proper period as opposed to when paid. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Eligibility Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (4) Serve only households whose eligibility has been determined in compliance with program requirements. (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (11) Maintain other program records satisfactory to the department, which document, among other things, client eligibility requirements, receipt of allowable program services, termination of services and the basis for same, housing and income status of clients, administrative actions, contracts with subcontractors, review of subcontractor performance, action taken with respect to deficiency notices, and any administrative review proceedings. Such records shall be in substance and format satisfactory to the department. Condition – In our sample of 60 items, we noted the following exceptions: • 3 instances where client applications could not be produced • 1 instance where client application did not contain evidence of a bill • 6 instances where the combo payment amount covering overages of another program could not be substantiated in terms of amount paid • 1 instance where crisis payment didn’t contain all elements of documentation required for amount paid • 4 instances where bulk fuel payments didn’t contain all elements of documentation required for information taken via quote or vendor The Agency was not able to provide a listing of payments made on behalf of clients corresponding to the fiscal year, and we were unable to reconcile the awards paid out to the cash received from the passthrough entity and the listing of applications approved during the year. Cause – Supporting applications and required documentation were not retained by the Agency to substantiate eligibility and services provided. Effect – Applicants could receive improper benefit amounts based on eligibility criteria, excessive disbursements could be made, and a return of funds could be required to grantor. Questioned Costs – $190,142, based on the populations sampled. Recommendation – Documentation should be prepared, reviewed, and retained to support the period of performance and earmarking. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Eligibility Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (4) Serve only households whose eligibility has been determined in compliance with program requirements. (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (11) Maintain other program records satisfactory to the department, which document, among other things, client eligibility requirements, receipt of allowable program services, termination of services and the basis for same, housing and income status of clients, administrative actions, contracts with subcontractors, review of subcontractor performance, action taken with respect to deficiency notices, and any administrative review proceedings. Such records shall be in substance and format satisfactory to the department. Condition – In our sample of 60 items, we noted the following exceptions: • 3 instances where client applications could not be produced • 1 instance where client application did not contain evidence of a bill • 6 instances where the combo payment amount covering overages of another program could not be substantiated in terms of amount paid • 1 instance where crisis payment didn’t contain all elements of documentation required for amount paid • 4 instances where bulk fuel payments didn’t contain all elements of documentation required for information taken via quote or vendor The Agency was not able to provide a listing of payments made on behalf of clients corresponding to the fiscal year, and we were unable to reconcile the awards paid out to the cash received from the passthrough entity and the listing of applications approved during the year. Cause – Supporting applications and required documentation were not retained by the Agency to substantiate eligibility and services provided. Effect – Applicants could receive improper benefit amounts based on eligibility criteria, excessive disbursements could be made, and a return of funds could be required to grantor. Questioned Costs – $190,142, based on the populations sampled. Recommendation – Documentation should be prepared, reviewed, and retained to support the period of performance and earmarking. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Eligibility Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (4) Serve only households whose eligibility has been determined in compliance with program requirements. (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (11) Maintain other program records satisfactory to the department, which document, among other things, client eligibility requirements, receipt of allowable program services, termination of services and the basis for same, housing and income status of clients, administrative actions, contracts with subcontractors, review of subcontractor performance, action taken with respect to deficiency notices, and any administrative review proceedings. Such records shall be in substance and format satisfactory to the department. Condition – In our sample of 60 items, we noted the following exceptions: • 3 instances where client applications could not be produced • 1 instance where client application did not contain evidence of a bill • 6 instances where the combo payment amount covering overages of another program could not be substantiated in terms of amount paid • 1 instance where crisis payment didn’t contain all elements of documentation required for amount paid • 4 instances where bulk fuel payments didn’t contain all elements of documentation required for information taken via quote or vendor The Agency was not able to provide a listing of payments made on behalf of clients corresponding to the fiscal year, and we were unable to reconcile the awards paid out to the cash received from the passthrough entity and the listing of applications approved during the year. Cause – Supporting applications and required documentation were not retained by the Agency to substantiate eligibility and services provided. Effect – Applicants could receive improper benefit amounts based on eligibility criteria, excessive disbursements could be made, and a return of funds could be required to grantor. Questioned Costs – $190,142, based on the populations sampled. Recommendation – Documentation should be prepared, reviewed, and retained to support the period of performance and earmarking. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Eligibility Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (4) Serve only households whose eligibility has been determined in compliance with program requirements. (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (11) Maintain other program records satisfactory to the department, which document, among other things, client eligibility requirements, receipt of allowable program services, termination of services and the basis for same, housing and income status of clients, administrative actions, contracts with subcontractors, review of subcontractor performance, action taken with respect to deficiency notices, and any administrative review proceedings. Such records shall be in substance and format satisfactory to the department. Condition – In our sample of 60 items, we noted the following exceptions: • 3 instances where client applications could not be produced • 1 instance where client application did not contain evidence of a bill • 6 instances where the combo payment amount covering overages of another program could not be substantiated in terms of amount paid • 1 instance where crisis payment didn’t contain all elements of documentation required for amount paid • 4 instances where bulk fuel payments didn’t contain all elements of documentation required for information taken via quote or vendor The Agency was not able to provide a listing of payments made on behalf of clients corresponding to the fiscal year, and we were unable to reconcile the awards paid out to the cash received from the passthrough entity and the listing of applications approved during the year. Cause – Supporting applications and required documentation were not retained by the Agency to substantiate eligibility and services provided. Effect – Applicants could receive improper benefit amounts based on eligibility criteria, excessive disbursements could be made, and a return of funds could be required to grantor. Questioned Costs – $190,142, based on the populations sampled. Recommendation – Documentation should be prepared, reviewed, and retained to support the period of performance and earmarking. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Eligibility Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (4) Serve only households whose eligibility has been determined in compliance with program requirements. (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (11) Maintain other program records satisfactory to the department, which document, among other things, client eligibility requirements, receipt of allowable program services, termination of services and the basis for same, housing and income status of clients, administrative actions, contracts with subcontractors, review of subcontractor performance, action taken with respect to deficiency notices, and any administrative review proceedings. Such records shall be in substance and format satisfactory to the department. Condition – In our sample of 60 items, we noted the following exceptions: • 3 instances where client applications could not be produced • 1 instance where client application did not contain evidence of a bill • 6 instances where the combo payment amount covering overages of another program could not be substantiated in terms of amount paid • 1 instance where crisis payment didn’t contain all elements of documentation required for amount paid • 4 instances where bulk fuel payments didn’t contain all elements of documentation required for information taken via quote or vendor The Agency was not able to provide a listing of payments made on behalf of clients corresponding to the fiscal year, and we were unable to reconcile the awards paid out to the cash received from the passthrough entity and the listing of applications approved during the year. Cause – Supporting applications and required documentation were not retained by the Agency to substantiate eligibility and services provided. Effect – Applicants could receive improper benefit amounts based on eligibility criteria, excessive disbursements could be made, and a return of funds could be required to grantor. Questioned Costs – $190,142, based on the populations sampled. Recommendation – Documentation should be prepared, reviewed, and retained to support the period of performance and earmarking. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Cash Management and Reporting Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (10) Maintain accurate financial records satisfactory to the department, which document, among other things, the receipt and disbursement of all funds provided through the program by the department; and have an accounting system in place satisfactory to the department, which meets, among other things, generally accepted accounting principles. (12) Provide the department with reports, data, and financial statements, in form and substance satisfactory to the department, as may be required or requested from time to time by the department, which shall be in a format prescribed by the department. (14) Assure that data collection and reporting, including data entry for program funded activities, be conducted through the use of an OHCS approved data collection system (such as ServicePoint and OPUS), where applicable by program requirements. (15) Ensure that data collection, entry and reporting occur in an accurate and timely manner as satisfactory to OHCS. Condition – The Agency did not maintain proper documentation in support of annual reporting requirements. Quarterly reports as required by the grant document were not filed. Cash request could not be substantiated nor could documentation to support amounts reimbursed be tied to supporting records. As a result of the lack of documentation, sufficient appropriate audit evidence could not be obtained in order to test reporting and cash management . Cause – Supporting records used to populate the required annual financial reporting were not retained by the Agency. The Agency stated quarterly reports were not required by grantor and therefore not filed, however the Agency was unable to provide documentation to support this inconsistency with the terms and conditions of the grant agreement for the first 3 quarters of the fiscal year. Reimbursement was provided as information was uploaded into the state pass-through system, however, as noted during our testing of eligibility; batches were uploaded months behind amounts being pledged to vendors on behalf of clients and no records were kept for amounts input for expenses outside of client assistance. Effect – The Agency could submit incorrect information. Non-reporting to the grantor can result in sanctions or loss of future funding. The Agency could request funds that may not have adequate supporting documentation which could lead to errors and loss of funding under this program. Questioned Costs – Not applicable. Recommendation – Documentation should be prepared, reviewed, and retained to support the reporting. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Grant agreements should be read in detail and information relevant to report requirements be provided to the appropriate personnel to prevent not filing required reports. Documentation should be provided that directly links the amount requested to the related expenditures to clearly document those funds are being used in a timely manner, that more was not requested than was expended, specifically what expenditures are being considered expended through these funds, and that funds requested applied to the correct period. Update policies and procedures as needed to reflect changes, if applicable. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Cash Management and Reporting Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (10) Maintain accurate financial records satisfactory to the department, which document, among other things, the receipt and disbursement of all funds provided through the program by the department; and have an accounting system in place satisfactory to the department, which meets, among other things, generally accepted accounting principles. (12) Provide the department with reports, data, and financial statements, in form and substance satisfactory to the department, as may be required or requested from time to time by the department, which shall be in a format prescribed by the department. (14) Assure that data collection and reporting, including data entry for program funded activities, be conducted through the use of an OHCS approved data collection system (such as ServicePoint and OPUS), where applicable by program requirements. (15) Ensure that data collection, entry and reporting occur in an accurate and timely manner as satisfactory to OHCS. Condition – The Agency did not maintain proper documentation in support of annual reporting requirements. Quarterly reports as required by the grant document were not filed. Cash request could not be substantiated nor could documentation to support amounts reimbursed be tied to supporting records. As a result of the lack of documentation, sufficient appropriate audit evidence could not be obtained in order to test reporting and cash management . Cause – Supporting records used to populate the required annual financial reporting were not retained by the Agency. The Agency stated quarterly reports were not required by grantor and therefore not filed, however the Agency was unable to provide documentation to support this inconsistency with the terms and conditions of the grant agreement for the first 3 quarters of the fiscal year. Reimbursement was provided as information was uploaded into the state pass-through system, however, as noted during our testing of eligibility; batches were uploaded months behind amounts being pledged to vendors on behalf of clients and no records were kept for amounts input for expenses outside of client assistance. Effect – The Agency could submit incorrect information. Non-reporting to the grantor can result in sanctions or loss of future funding. The Agency could request funds that may not have adequate supporting documentation which could lead to errors and loss of funding under this program. Questioned Costs – Not applicable. Recommendation – Documentation should be prepared, reviewed, and retained to support the reporting. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Grant agreements should be read in detail and information relevant to report requirements be provided to the appropriate personnel to prevent not filing required reports. Documentation should be provided that directly links the amount requested to the related expenditures to clearly document those funds are being used in a timely manner, that more was not requested than was expended, specifically what expenditures are being considered expended through these funds, and that funds requested applied to the correct period. Update policies and procedures as needed to reflect changes, if applicable. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Cash Management and Reporting Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (10) Maintain accurate financial records satisfactory to the department, which document, among other things, the receipt and disbursement of all funds provided through the program by the department; and have an accounting system in place satisfactory to the department, which meets, among other things, generally accepted accounting principles. (12) Provide the department with reports, data, and financial statements, in form and substance satisfactory to the department, as may be required or requested from time to time by the department, which shall be in a format prescribed by the department. (14) Assure that data collection and reporting, including data entry for program funded activities, be conducted through the use of an OHCS approved data collection system (such as ServicePoint and OPUS), where applicable by program requirements. (15) Ensure that data collection, entry and reporting occur in an accurate and timely manner as satisfactory to OHCS. Condition – The Agency did not maintain proper documentation in support of annual reporting requirements. Quarterly reports as required by the grant document were not filed. Cash request could not be substantiated nor could documentation to support amounts reimbursed be tied to supporting records. As a result of the lack of documentation, sufficient appropriate audit evidence could not be obtained in order to test reporting and cash management . Cause – Supporting records used to populate the required annual financial reporting were not retained by the Agency. The Agency stated quarterly reports were not required by grantor and therefore not filed, however the Agency was unable to provide documentation to support this inconsistency with the terms and conditions of the grant agreement for the first 3 quarters of the fiscal year. Reimbursement was provided as information was uploaded into the state pass-through system, however, as noted during our testing of eligibility; batches were uploaded months behind amounts being pledged to vendors on behalf of clients and no records were kept for amounts input for expenses outside of client assistance. Effect – The Agency could submit incorrect information. Non-reporting to the grantor can result in sanctions or loss of future funding. The Agency could request funds that may not have adequate supporting documentation which could lead to errors and loss of funding under this program. Questioned Costs – Not applicable. Recommendation – Documentation should be prepared, reviewed, and retained to support the reporting. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Grant agreements should be read in detail and information relevant to report requirements be provided to the appropriate personnel to prevent not filing required reports. Documentation should be provided that directly links the amount requested to the related expenditures to clearly document those funds are being used in a timely manner, that more was not requested than was expended, specifically what expenditures are being considered expended through these funds, and that funds requested applied to the correct period. Update policies and procedures as needed to reflect changes, if applicable. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Cash Management and Reporting Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (10) Maintain accurate financial records satisfactory to the department, which document, among other things, the receipt and disbursement of all funds provided through the program by the department; and have an accounting system in place satisfactory to the department, which meets, among other things, generally accepted accounting principles. (12) Provide the department with reports, data, and financial statements, in form and substance satisfactory to the department, as may be required or requested from time to time by the department, which shall be in a format prescribed by the department. (14) Assure that data collection and reporting, including data entry for program funded activities, be conducted through the use of an OHCS approved data collection system (such as ServicePoint and OPUS), where applicable by program requirements. (15) Ensure that data collection, entry and reporting occur in an accurate and timely manner as satisfactory to OHCS. Condition – The Agency did not maintain proper documentation in support of annual reporting requirements. Quarterly reports as required by the grant document were not filed. Cash request could not be substantiated nor could documentation to support amounts reimbursed be tied to supporting records. As a result of the lack of documentation, sufficient appropriate audit evidence could not be obtained in order to test reporting and cash management . Cause – Supporting records used to populate the required annual financial reporting were not retained by the Agency. The Agency stated quarterly reports were not required by grantor and therefore not filed, however the Agency was unable to provide documentation to support this inconsistency with the terms and conditions of the grant agreement for the first 3 quarters of the fiscal year. Reimbursement was provided as information was uploaded into the state pass-through system, however, as noted during our testing of eligibility; batches were uploaded months behind amounts being pledged to vendors on behalf of clients and no records were kept for amounts input for expenses outside of client assistance. Effect – The Agency could submit incorrect information. Non-reporting to the grantor can result in sanctions or loss of future funding. The Agency could request funds that may not have adequate supporting documentation which could lead to errors and loss of funding under this program. Questioned Costs – Not applicable. Recommendation – Documentation should be prepared, reviewed, and retained to support the reporting. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Grant agreements should be read in detail and information relevant to report requirements be provided to the appropriate personnel to prevent not filing required reports. Documentation should be provided that directly links the amount requested to the related expenditures to clearly document those funds are being used in a timely manner, that more was not requested than was expended, specifically what expenditures are being considered expended through these funds, and that funds requested applied to the correct period. Update policies and procedures as needed to reflect changes, if applicable. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Cash Management and Reporting Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (10) Maintain accurate financial records satisfactory to the department, which document, among other things, the receipt and disbursement of all funds provided through the program by the department; and have an accounting system in place satisfactory to the department, which meets, among other things, generally accepted accounting principles. (12) Provide the department with reports, data, and financial statements, in form and substance satisfactory to the department, as may be required or requested from time to time by the department, which shall be in a format prescribed by the department. (14) Assure that data collection and reporting, including data entry for program funded activities, be conducted through the use of an OHCS approved data collection system (such as ServicePoint and OPUS), where applicable by program requirements. (15) Ensure that data collection, entry and reporting occur in an accurate and timely manner as satisfactory to OHCS. Condition – The Agency did not maintain proper documentation in support of annual reporting requirements. Quarterly reports as required by the grant document were not filed. Cash request could not be substantiated nor could documentation to support amounts reimbursed be tied to supporting records. As a result of the lack of documentation, sufficient appropriate audit evidence could not be obtained in order to test reporting and cash management . Cause – Supporting records used to populate the required annual financial reporting were not retained by the Agency. The Agency stated quarterly reports were not required by grantor and therefore not filed, however the Agency was unable to provide documentation to support this inconsistency with the terms and conditions of the grant agreement for the first 3 quarters of the fiscal year. Reimbursement was provided as information was uploaded into the state pass-through system, however, as noted during our testing of eligibility; batches were uploaded months behind amounts being pledged to vendors on behalf of clients and no records were kept for amounts input for expenses outside of client assistance. Effect – The Agency could submit incorrect information. Non-reporting to the grantor can result in sanctions or loss of future funding. The Agency could request funds that may not have adequate supporting documentation which could lead to errors and loss of funding under this program. Questioned Costs – Not applicable. Recommendation – Documentation should be prepared, reviewed, and retained to support the reporting. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Grant agreements should be read in detail and information relevant to report requirements be provided to the appropriate personnel to prevent not filing required reports. Documentation should be provided that directly links the amount requested to the related expenditures to clearly document those funds are being used in a timely manner, that more was not requested than was expended, specifically what expenditures are being considered expended through these funds, and that funds requested applied to the correct period. Update policies and procedures as needed to reflect changes, if applicable. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Activities Allowed or Unallowed/Allowable Costs/Cost Principles Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – Per 2 CFR 200.303, the non-federal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should follow guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR section 200.403 – Factors affecting allowability of costs – Except where otherwise authorized by statute, costs must meet the following general criteria in order to be allowable under Federal awards: paragraph (a) Be necessary and reasonable for the performance of the Federal award and be allocable thereto under these principles; paragraph (g) Be adequately documented. Per 2 CFR section 200.404 – Reasonable costs – A cost is reasonable if, in its nature and amount, it does not exceed that which would be incurred by a prudent person under the circumstances prevailing at the time the decision was made to incur the cost. Per 2 CFR section 200.405 – Allocable costs –focuses on how costs are allocable, ensuring they are directly tied to the federal award or its benefits. Per 2 CFR 200.430(i), charges to Federal awards for salaries and wages must be based on records that are supported by a system of internal control that provides reasonable assurance that the charges are accurate, allowable, and properly allocated and that are incorporated into the official records of the non-Federal entity. Condition – The following exceptions were noted during testing of 138 program disbursements, 93 payroll disbursements, and 100 journal entry transactions: • 20 invoices could not be located related to program disbursements • 6 invoices tested did not agree to the approved allocation of Head Start expenses • 1 timecard could not be located • multiple instances where an approved pay rate covering the appropriate time-period could not be obtained • 12 instances where supporting documentation for journal entries to adjust Head Start expenses could not be obtained. Cause – Turnover in staff and the passage of time since the period under audit has caused documentation to be misplaced. Effect – Inadequate or inconsistent documentation of expenses may result in erroneous or fraudulent transactions occurring, loss of funding, or disallowed costs. Questioned Costs – $151,608. Recommendation – Documentation should be prepared, reviewed, and retained to support the expense. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Activities Allowed or Unallowed/Allowable Costs/Cost Principles Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – Per 2 CFR 200.303, the non-federal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should follow guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR section 200.403 – Factors affecting allowability of costs – Except where otherwise authorized by statute, costs must meet the following general criteria in order to be allowable under Federal awards: paragraph (a) Be necessary and reasonable for the performance of the Federal award and be allocable thereto under these principles; paragraph (g) Be adequately documented. Per 2 CFR section 200.404 – Reasonable costs – A cost is reasonable if, in its nature and amount, it does not exceed that which would be incurred by a prudent person under the circumstances prevailing at the time the decision was made to incur the cost. Per 2 CFR section 200.405 – Allocable costs –focuses on how costs are allocable, ensuring they are directly tied to the federal award or its benefits. Per 2 CFR 200.430(i), charges to Federal awards for salaries and wages must be based on records that are supported by a system of internal control that provides reasonable assurance that the charges are accurate, allowable, and properly allocated and that are incorporated into the official records of the non-Federal entity. Condition – The following exceptions were noted during testing of 138 program disbursements, 93 payroll disbursements, and 100 journal entry transactions: • 20 invoices could not be located related to program disbursements • 6 invoices tested did not agree to the approved allocation of Head Start expenses • 1 timecard could not be located • multiple instances where an approved pay rate covering the appropriate time-period could not be obtained • 12 instances where supporting documentation for journal entries to adjust Head Start expenses could not be obtained. Cause – Turnover in staff and the passage of time since the period under audit has caused documentation to be misplaced. Effect – Inadequate or inconsistent documentation of expenses may result in erroneous or fraudulent transactions occurring, loss of funding, or disallowed costs. Questioned Costs – $151,608. Recommendation – Documentation should be prepared, reviewed, and retained to support the expense. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Activities Allowed or Unallowed/Allowable Costs/Cost Principles Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – Per 2 CFR 200.303, the non-federal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should follow guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR section 200.403 – Factors affecting allowability of costs – Except where otherwise authorized by statute, costs must meet the following general criteria in order to be allowable under Federal awards: paragraph (a) Be necessary and reasonable for the performance of the Federal award and be allocable thereto under these principles; paragraph (g) Be adequately documented. Per 2 CFR section 200.404 – Reasonable costs – A cost is reasonable if, in its nature and amount, it does not exceed that which would be incurred by a prudent person under the circumstances prevailing at the time the decision was made to incur the cost. Per 2 CFR section 200.405 – Allocable costs –focuses on how costs are allocable, ensuring they are directly tied to the federal award or its benefits. Per 2 CFR 200.430(i), charges to Federal awards for salaries and wages must be based on records that are supported by a system of internal control that provides reasonable assurance that the charges are accurate, allowable, and properly allocated and that are incorporated into the official records of the non-Federal entity. Condition – The following exceptions were noted during testing of 138 program disbursements, 93 payroll disbursements, and 100 journal entry transactions: • 20 invoices could not be located related to program disbursements • 6 invoices tested did not agree to the approved allocation of Head Start expenses • 1 timecard could not be located • multiple instances where an approved pay rate covering the appropriate time-period could not be obtained • 12 instances where supporting documentation for journal entries to adjust Head Start expenses could not be obtained. Cause – Turnover in staff and the passage of time since the period under audit has caused documentation to be misplaced. Effect – Inadequate or inconsistent documentation of expenses may result in erroneous or fraudulent transactions occurring, loss of funding, or disallowed costs. Questioned Costs – $151,608. Recommendation – Documentation should be prepared, reviewed, and retained to support the expense. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Activities Allowed or Unallowed/Allowable Costs/Cost Principles Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – Per 2 CFR 200.303, the non-federal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should follow guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR section 200.403 – Factors affecting allowability of costs – Except where otherwise authorized by statute, costs must meet the following general criteria in order to be allowable under Federal awards: paragraph (a) Be necessary and reasonable for the performance of the Federal award and be allocable thereto under these principles; paragraph (g) Be adequately documented. Per 2 CFR section 200.404 – Reasonable costs – A cost is reasonable if, in its nature and amount, it does not exceed that which would be incurred by a prudent person under the circumstances prevailing at the time the decision was made to incur the cost. Per 2 CFR section 200.405 – Allocable costs –focuses on how costs are allocable, ensuring they are directly tied to the federal award or its benefits. Per 2 CFR 200.430(i), charges to Federal awards for salaries and wages must be based on records that are supported by a system of internal control that provides reasonable assurance that the charges are accurate, allowable, and properly allocated and that are incorporated into the official records of the non-Federal entity. Condition – The following exceptions were noted during testing of 138 program disbursements, 93 payroll disbursements, and 100 journal entry transactions: • 20 invoices could not be located related to program disbursements • 6 invoices tested did not agree to the approved allocation of Head Start expenses • 1 timecard could not be located • multiple instances where an approved pay rate covering the appropriate time-period could not be obtained • 12 instances where supporting documentation for journal entries to adjust Head Start expenses could not be obtained. Cause – Turnover in staff and the passage of time since the period under audit has caused documentation to be misplaced. Effect – Inadequate or inconsistent documentation of expenses may result in erroneous or fraudulent transactions occurring, loss of funding, or disallowed costs. Questioned Costs – $151,608. Recommendation – Documentation should be prepared, reviewed, and retained to support the expense. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Activities Allowed or Unallowed/Allowable Costs/Cost Principles Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – Per 2 CFR 200.303, the non-federal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should follow guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR section 200.403 – Factors affecting allowability of costs – Except where otherwise authorized by statute, costs must meet the following general criteria in order to be allowable under Federal awards: paragraph (a) Be necessary and reasonable for the performance of the Federal award and be allocable thereto under these principles; paragraph (g) Be adequately documented. Per 2 CFR section 200.404 – Reasonable costs – A cost is reasonable if, in its nature and amount, it does not exceed that which would be incurred by a prudent person under the circumstances prevailing at the time the decision was made to incur the cost. Per 2 CFR section 200.405 – Allocable costs –focuses on how costs are allocable, ensuring they are directly tied to the federal award or its benefits. Per 2 CFR 200.430(i), charges to Federal awards for salaries and wages must be based on records that are supported by a system of internal control that provides reasonable assurance that the charges are accurate, allowable, and properly allocated and that are incorporated into the official records of the non-Federal entity. Condition – The following exceptions were noted during testing of 138 program disbursements, 93 payroll disbursements, and 100 journal entry transactions: • 20 invoices could not be located related to program disbursements • 6 invoices tested did not agree to the approved allocation of Head Start expenses • 1 timecard could not be located • multiple instances where an approved pay rate covering the appropriate time-period could not be obtained • 12 instances where supporting documentation for journal entries to adjust Head Start expenses could not be obtained. Cause – Turnover in staff and the passage of time since the period under audit has caused documentation to be misplaced. Effect – Inadequate or inconsistent documentation of expenses may result in erroneous or fraudulent transactions occurring, loss of funding, or disallowed costs. Questioned Costs – $151,608. Recommendation – Documentation should be prepared, reviewed, and retained to support the expense. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Activities Allowed or Unallowed/Allowable Costs/Cost Principles Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – Per 2 CFR 200.303, the non-federal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should follow guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Per 2 CFR section 200.403 – Factors affecting allowability of costs – Except where otherwise authorized by statute, costs must meet the following general criteria in order to be allowable under Federal awards: paragraph (a) Be necessary and reasonable for the performance of the Federal award and be allocable thereto under these principles; paragraph (g) Be adequately documented. Per 2 CFR section 200.404 – Reasonable costs – A cost is reasonable if, in its nature and amount, it does not exceed that which would be incurred by a prudent person under the circumstances prevailing at the time the decision was made to incur the cost. Per 2 CFR section 200.405 – Allocable costs –focuses on how costs are allocable, ensuring they are directly tied to the federal award or its benefits. Per 2 CFR 200.430(i), charges to Federal awards for salaries and wages must be based on records that are supported by a system of internal control that provides reasonable assurance that the charges are accurate, allowable, and properly allocated and that are incorporated into the official records of the non-Federal entity. Condition – The following exceptions were noted during testing of 138 program disbursements, 93 payroll disbursements, and 100 journal entry transactions: • 20 invoices could not be located related to program disbursements • 6 invoices tested did not agree to the approved allocation of Head Start expenses • 1 timecard could not be located • multiple instances where an approved pay rate covering the appropriate time-period could not be obtained • 12 instances where supporting documentation for journal entries to adjust Head Start expenses could not be obtained. Cause – Turnover in staff and the passage of time since the period under audit has caused documentation to be misplaced. Effect – Inadequate or inconsistent documentation of expenses may result in erroneous or fraudulent transactions occurring, loss of funding, or disallowed costs. Questioned Costs – $151,608. Recommendation – Documentation should be prepared, reviewed, and retained to support the expense. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Equipment/Real Property Management Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR 200.439(d)(1) requires that property records must be maintained for equipment acquired under a federal award that include a description of the property, a serial number or other identification number, the source of funding for the property (including the FAIN), who holds title, the acquisition date, and cost of the property, percentage of federal participation in the project costs for the federal award under which the property was acquired, the location, use and condition of the property, and any ultimate disposition data including the date of disposal and sale price of the property. A physical inventory of the property must be taken and the results reconciled with the property records at least once every two years. Condition – During testing it was noted that the Inventory tracking sheet did not contain all assets with federal interest under the Head Start program. It was also noted that there were items not included in the physical inventory observation taken. Cause – The Agency did not properly include all additions in the current year to the fixed asset schedule, which resulted in a lack of proper property records and missing physical inventory observation was made for assets included on properly records. Effect – Failure to include all items and take a full physical inventory observation could result in noncompliance with the grant agreements. Questioned Costs – Not applicable. Recommendation – We recommend the Agency follow its capital asset management policy to ensure all assets are adequately accounted for and properly safeguarded. CRI also recommends that the Agency include all of the information required by the Uniform Guidance in one central tracking spreadsheet or database. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Equipment/Real Property Management Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR 200.439(d)(1) requires that property records must be maintained for equipment acquired under a federal award that include a description of the property, a serial number or other identification number, the source of funding for the property (including the FAIN), who holds title, the acquisition date, and cost of the property, percentage of federal participation in the project costs for the federal award under which the property was acquired, the location, use and condition of the property, and any ultimate disposition data including the date of disposal and sale price of the property. A physical inventory of the property must be taken and the results reconciled with the property records at least once every two years. Condition – During testing it was noted that the Inventory tracking sheet did not contain all assets with federal interest under the Head Start program. It was also noted that there were items not included in the physical inventory observation taken. Cause – The Agency did not properly include all additions in the current year to the fixed asset schedule, which resulted in a lack of proper property records and missing physical inventory observation was made for assets included on properly records. Effect – Failure to include all items and take a full physical inventory observation could result in noncompliance with the grant agreements. Questioned Costs – Not applicable. Recommendation – We recommend the Agency follow its capital asset management policy to ensure all assets are adequately accounted for and properly safeguarded. CRI also recommends that the Agency include all of the information required by the Uniform Guidance in one central tracking spreadsheet or database. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Equipment/Real Property Management Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR 200.439(d)(1) requires that property records must be maintained for equipment acquired under a federal award that include a description of the property, a serial number or other identification number, the source of funding for the property (including the FAIN), who holds title, the acquisition date, and cost of the property, percentage of federal participation in the project costs for the federal award under which the property was acquired, the location, use and condition of the property, and any ultimate disposition data including the date of disposal and sale price of the property. A physical inventory of the property must be taken and the results reconciled with the property records at least once every two years. Condition – During testing it was noted that the Inventory tracking sheet did not contain all assets with federal interest under the Head Start program. It was also noted that there were items not included in the physical inventory observation taken. Cause – The Agency did not properly include all additions in the current year to the fixed asset schedule, which resulted in a lack of proper property records and missing physical inventory observation was made for assets included on properly records. Effect – Failure to include all items and take a full physical inventory observation could result in noncompliance with the grant agreements. Questioned Costs – Not applicable. Recommendation – We recommend the Agency follow its capital asset management policy to ensure all assets are adequately accounted for and properly safeguarded. CRI also recommends that the Agency include all of the information required by the Uniform Guidance in one central tracking spreadsheet or database. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Equipment/Real Property Management Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR 200.439(d)(1) requires that property records must be maintained for equipment acquired under a federal award that include a description of the property, a serial number or other identification number, the source of funding for the property (including the FAIN), who holds title, the acquisition date, and cost of the property, percentage of federal participation in the project costs for the federal award under which the property was acquired, the location, use and condition of the property, and any ultimate disposition data including the date of disposal and sale price of the property. A physical inventory of the property must be taken and the results reconciled with the property records at least once every two years. Condition – During testing it was noted that the Inventory tracking sheet did not contain all assets with federal interest under the Head Start program. It was also noted that there were items not included in the physical inventory observation taken. Cause – The Agency did not properly include all additions in the current year to the fixed asset schedule, which resulted in a lack of proper property records and missing physical inventory observation was made for assets included on properly records. Effect – Failure to include all items and take a full physical inventory observation could result in noncompliance with the grant agreements. Questioned Costs – Not applicable. Recommendation – We recommend the Agency follow its capital asset management policy to ensure all assets are adequately accounted for and properly safeguarded. CRI also recommends that the Agency include all of the information required by the Uniform Guidance in one central tracking spreadsheet or database. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Equipment/Real Property Management Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR 200.439(d)(1) requires that property records must be maintained for equipment acquired under a federal award that include a description of the property, a serial number or other identification number, the source of funding for the property (including the FAIN), who holds title, the acquisition date, and cost of the property, percentage of federal participation in the project costs for the federal award under which the property was acquired, the location, use and condition of the property, and any ultimate disposition data including the date of disposal and sale price of the property. A physical inventory of the property must be taken and the results reconciled with the property records at least once every two years. Condition – During testing it was noted that the Inventory tracking sheet did not contain all assets with federal interest under the Head Start program. It was also noted that there were items not included in the physical inventory observation taken. Cause – The Agency did not properly include all additions in the current year to the fixed asset schedule, which resulted in a lack of proper property records and missing physical inventory observation was made for assets included on properly records. Effect – Failure to include all items and take a full physical inventory observation could result in noncompliance with the grant agreements. Questioned Costs – Not applicable. Recommendation – We recommend the Agency follow its capital asset management policy to ensure all assets are adequately accounted for and properly safeguarded. CRI also recommends that the Agency include all of the information required by the Uniform Guidance in one central tracking spreadsheet or database. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Equipment/Real Property Management Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR 200.439(d)(1) requires that property records must be maintained for equipment acquired under a federal award that include a description of the property, a serial number or other identification number, the source of funding for the property (including the FAIN), who holds title, the acquisition date, and cost of the property, percentage of federal participation in the project costs for the federal award under which the property was acquired, the location, use and condition of the property, and any ultimate disposition data including the date of disposal and sale price of the property. A physical inventory of the property must be taken and the results reconciled with the property records at least once every two years. Condition – During testing it was noted that the Inventory tracking sheet did not contain all assets with federal interest under the Head Start program. It was also noted that there were items not included in the physical inventory observation taken. Cause – The Agency did not properly include all additions in the current year to the fixed asset schedule, which resulted in a lack of proper property records and missing physical inventory observation was made for assets included on properly records. Effect – Failure to include all items and take a full physical inventory observation could result in noncompliance with the grant agreements. Questioned Costs – Not applicable. Recommendation – We recommend the Agency follow its capital asset management policy to ensure all assets are adequately accounted for and properly safeguarded. CRI also recommends that the Agency include all of the information required by the Uniform Guidance in one central tracking spreadsheet or database. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Financial Reporting Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. 2 CFR section 200.302(b))3) requires that nonfederal entities keep records that include info: pertaining to Federal awards, authorizations, financial obligations, unobligated balances, assets, expenditures, income and interest and be supported by source documentation Condition – The Organization did not maintain proper documentation in support of financial reporting requirements. Cause – Supporting records used to populate the required financial reporting were not retained by the Agency. Effect – The agency could submit incorrect information. Questioned Costs – Not applicable. Recommendation – Documentation should be prepared, reviewed, and retained to support the required reporting. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Financial Reporting Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. 2 CFR section 200.302(b))3) requires that nonfederal entities keep records that include info: pertaining to Federal awards, authorizations, financial obligations, unobligated balances, assets, expenditures, income and interest and be supported by source documentation Condition – The Organization did not maintain proper documentation in support of financial reporting requirements. Cause – Supporting records used to populate the required financial reporting were not retained by the Agency. Effect – The agency could submit incorrect information. Questioned Costs – Not applicable. Recommendation – Documentation should be prepared, reviewed, and retained to support the required reporting. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Financial Reporting Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. 2 CFR section 200.302(b))3) requires that nonfederal entities keep records that include info: pertaining to Federal awards, authorizations, financial obligations, unobligated balances, assets, expenditures, income and interest and be supported by source documentation Condition – The Organization did not maintain proper documentation in support of financial reporting requirements. Cause – Supporting records used to populate the required financial reporting were not retained by the Agency. Effect – The agency could submit incorrect information. Questioned Costs – Not applicable. Recommendation – Documentation should be prepared, reviewed, and retained to support the required reporting. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Financial Reporting Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. 2 CFR section 200.302(b))3) requires that nonfederal entities keep records that include info: pertaining to Federal awards, authorizations, financial obligations, unobligated balances, assets, expenditures, income and interest and be supported by source documentation Condition – The Organization did not maintain proper documentation in support of financial reporting requirements. Cause – Supporting records used to populate the required financial reporting were not retained by the Agency. Effect – The agency could submit incorrect information. Questioned Costs – Not applicable. Recommendation – Documentation should be prepared, reviewed, and retained to support the required reporting. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Financial Reporting Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. 2 CFR section 200.302(b))3) requires that nonfederal entities keep records that include info: pertaining to Federal awards, authorizations, financial obligations, unobligated balances, assets, expenditures, income and interest and be supported by source documentation Condition – The Organization did not maintain proper documentation in support of financial reporting requirements. Cause – Supporting records used to populate the required financial reporting were not retained by the Agency. Effect – The agency could submit incorrect information. Questioned Costs – Not applicable. Recommendation – Documentation should be prepared, reviewed, and retained to support the required reporting. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Financial Reporting Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. 2 CFR section 200.302(b))3) requires that nonfederal entities keep records that include info: pertaining to Federal awards, authorizations, financial obligations, unobligated balances, assets, expenditures, income and interest and be supported by source documentation Condition – The Organization did not maintain proper documentation in support of financial reporting requirements. Cause – Supporting records used to populate the required financial reporting were not retained by the Agency. Effect – The agency could submit incorrect information. Questioned Costs – Not applicable. Recommendation – Documentation should be prepared, reviewed, and retained to support the required reporting. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Special Reporting Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. Also, under compliance requirements for reporting 2 CFR 200.32 states that information must be collected with the frequency required by the terms and conditions of the federal award for effective monitoring of the federal awards. 2 CFR 200.330, Reporting on Real Property: The Federal awarding agency or pass-through entity must require a non-Federal entity to submit reports at least annually on the status of real property in which the Federal Government retains an interest. As described in ACF-IM-HS-17-01 Facilities Guidance, all grantees, including those with no covered real property, are instructed to use and submit standard form (SF) Real Property Status Report 429. Condition – The SF-429 required to be filed for Head Start was submitted after the deadline. Cause – The Agency did not apply appropriate controls to ensure that all reporting required under the terms of the grant were filed timely. Effect – Late reporting to the grantor can result in sanctions or loss of future funding. Questioned Costs – Not applicable. Recommendation – Management should implement the necessary controls to ensure all reporting required under the grant is filed accurately and timely. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Special Reporting Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. Also, under compliance requirements for reporting 2 CFR 200.32 states that information must be collected with the frequency required by the terms and conditions of the federal award for effective monitoring of the federal awards. 2 CFR 200.330, Reporting on Real Property: The Federal awarding agency or pass-through entity must require a non-Federal entity to submit reports at least annually on the status of real property in which the Federal Government retains an interest. As described in ACF-IM-HS-17-01 Facilities Guidance, all grantees, including those with no covered real property, are instructed to use and submit standard form (SF) Real Property Status Report 429. Condition – The SF-429 required to be filed for Head Start was submitted after the deadline. Cause – The Agency did not apply appropriate controls to ensure that all reporting required under the terms of the grant were filed timely. Effect – Late reporting to the grantor can result in sanctions or loss of future funding. Questioned Costs – Not applicable. Recommendation – Management should implement the necessary controls to ensure all reporting required under the grant is filed accurately and timely. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Special Reporting Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. Also, under compliance requirements for reporting 2 CFR 200.32 states that information must be collected with the frequency required by the terms and conditions of the federal award for effective monitoring of the federal awards. 2 CFR 200.330, Reporting on Real Property: The Federal awarding agency or pass-through entity must require a non-Federal entity to submit reports at least annually on the status of real property in which the Federal Government retains an interest. As described in ACF-IM-HS-17-01 Facilities Guidance, all grantees, including those with no covered real property, are instructed to use and submit standard form (SF) Real Property Status Report 429. Condition – The SF-429 required to be filed for Head Start was submitted after the deadline. Cause – The Agency did not apply appropriate controls to ensure that all reporting required under the terms of the grant were filed timely. Effect – Late reporting to the grantor can result in sanctions or loss of future funding. Questioned Costs – Not applicable. Recommendation – Management should implement the necessary controls to ensure all reporting required under the grant is filed accurately and timely. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Special Reporting Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. Also, under compliance requirements for reporting 2 CFR 200.32 states that information must be collected with the frequency required by the terms and conditions of the federal award for effective monitoring of the federal awards. 2 CFR 200.330, Reporting on Real Property: The Federal awarding agency or pass-through entity must require a non-Federal entity to submit reports at least annually on the status of real property in which the Federal Government retains an interest. As described in ACF-IM-HS-17-01 Facilities Guidance, all grantees, including those with no covered real property, are instructed to use and submit standard form (SF) Real Property Status Report 429. Condition – The SF-429 required to be filed for Head Start was submitted after the deadline. Cause – The Agency did not apply appropriate controls to ensure that all reporting required under the terms of the grant were filed timely. Effect – Late reporting to the grantor can result in sanctions or loss of future funding. Questioned Costs – Not applicable. Recommendation – Management should implement the necessary controls to ensure all reporting required under the grant is filed accurately and timely. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Special Reporting Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. Also, under compliance requirements for reporting 2 CFR 200.32 states that information must be collected with the frequency required by the terms and conditions of the federal award for effective monitoring of the federal awards. 2 CFR 200.330, Reporting on Real Property: The Federal awarding agency or pass-through entity must require a non-Federal entity to submit reports at least annually on the status of real property in which the Federal Government retains an interest. As described in ACF-IM-HS-17-01 Facilities Guidance, all grantees, including those with no covered real property, are instructed to use and submit standard form (SF) Real Property Status Report 429. Condition – The SF-429 required to be filed for Head Start was submitted after the deadline. Cause – The Agency did not apply appropriate controls to ensure that all reporting required under the terms of the grant were filed timely. Effect – Late reporting to the grantor can result in sanctions or loss of future funding. Questioned Costs – Not applicable. Recommendation – Management should implement the necessary controls to ensure all reporting required under the grant is filed accurately and timely. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Special Reporting Head Start ALN# 93.600 US Department of Health & Human Services Federal Grant/Contract Number: 10CH011215-02; 10CH011215-03; 10HE000901-01 Grant period – 2021 & 2022 Criteria – 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. Also, under compliance requirements for reporting 2 CFR 200.32 states that information must be collected with the frequency required by the terms and conditions of the federal award for effective monitoring of the federal awards. 2 CFR 200.330, Reporting on Real Property: The Federal awarding agency or pass-through entity must require a non-Federal entity to submit reports at least annually on the status of real property in which the Federal Government retains an interest. As described in ACF-IM-HS-17-01 Facilities Guidance, all grantees, including those with no covered real property, are instructed to use and submit standard form (SF) Real Property Status Report 429. Condition – The SF-429 required to be filed for Head Start was submitted after the deadline. Cause – The Agency did not apply appropriate controls to ensure that all reporting required under the terms of the grant were filed timely. Effect – Late reporting to the grantor can result in sanctions or loss of future funding. Questioned Costs – Not applicable. Recommendation – Management should implement the necessary controls to ensure all reporting required under the grant is filed accurately and timely. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Activities Allowed/Allowable Costs/Costs Principles, Eligibility, Period of Performance Emergency Rental Assistance ALN# 21.023 US Department of the Treasury Passed through Oregon Housing and Community Services Federal Grant/Contract Number: ERA000 Grant period – 2022 Criteria – 2 CFR 200.303 requires non-Federal entities to establish and maintain effective internal controls over Federal awards, including the requirements for allowable costs, activities allowed, beneficiary eligibility, and period of performance. For the Emergency Rental Assistance Program, specific requirements are laid out in Section 501 of Division N of the Consolidated Appropriations Act, 2021, 2 CFR Part 200, Subpart E, federal awarding agency regulations, and the terms and conditions of the award. Condition – In our sample of 100 items, we noted the following exceptions: • 2 instances where client applications nor check requests could be produced • 2 instances where client applications could not be produced • 1 instance where the risk of housing status was not properly documented. Cause – Supporting applications and/or required documentation was not retained by the Agency to substantiate eligibility, allowable costs, activities allowed, and period of performance for benefit services rendered. Effect – Failure to properly document eligibility determinations and benefit amounts could result in improper payments and disallowed costs. Questioned Costs – $ 137,567. Recommendation – Documentation should be prepared, reviewed, and retained to support the allowable costs, activities allowed, eligibility, and period of performance for benefits paid to individuals for services. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Activities Allowed/Allowable Costs/Costs Principles, Period of Performance Emergency Rental Assistance ALN# 21.023 US Department of the Treasury Passed through Oregon Housing and Community Services Federal Grant/Contract Number: ERA000 Grant period – 2022 Criteria – Per 2 CFR 200.303, the non-federal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition – In our sample of 100 items, we noted the following exceptions: • 13 instances where the check request used to identify approval of the disbursement could not be located • 1 instance where the request was not signed by the supervisor Cause – Supporting check request documentation relevant to verify that proper approval controls had been performed could not be obtained. Effect – Expenses not relevant to the fund or client benefits could be paid without approval. Expenses could be in excess of costs that client was eligible for or could be outside of the period of performance. Questioned Costs – Not applicable. Recommendation – Documentation should be prepared, reviewed, and retained to support the allowable costs, activities allowed, eligibility, and period of performance for benefits paid to individuals for services. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Period of Performance and Earmarking Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (1) Assure that program funds are used only for program services consistent with program requirements. (3) Ensure that program funds are expended within the time limitations set by OHCS. Program funds not expended within the time period may be recaptured by OHCS. (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (10) Maintain accurate financial records satisfactory to the department, which document, among other things, the receipt and disbursement of all funds provided through the program by the department; and have an accounting system in place satisfactory to the department, which meets, among other things, generally accepted accounting principles. Condition – Our testing noted the following exceptions: • 22 instances where check request and invoice could not be produced from a sample of 62 • 4 instances where the journal entry and corresponding back up could not be produced from a sample of 23. Moreover, $809,022 of costs associated with benefit services provided were not captured by the Agency. These amounts were noted during the review of Eligibility. However, these costs were noted by batches uploaded to the pass-through entity of the client. A detail of the expenses as it relates to payment of the disbursements to vendors could not be obtained and therefore not tested. These amounts represented benefit payments to individuals. A detail of the expenses was not available, as records supporting the batches under which reimbursement was requested were not retained. As a result, the auditors were unable to test these payments. We were unable to obtain sufficient, appropriate audit evidence related to these amounts. Cause – Supporting invoices or required documentation were not retained by the Agency to substantiate period of performance and earmarking costs. The Agency was not properly accounting for expenses incurred during the correct period. Effect – Expenditures could be made outside of the period of performance or costs could be captured incorrectly resulting in noncompliance with earmarking. Not properly recording the expenditures could result in expenditures being booked in the wrong grant period. Questioned Costs – $ 258,313, based on the populations sampled. An additional $809,022 was not recorded properly and was not able to be tested. Recommendation – Documentation should be prepared, reviewed, and retained to support the period of performance and earmarking. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. The Agency should review applications for when benefit was incurred to ensure that expenses are recorded in the proper period as opposed to when paid. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Period of Performance and Earmarking Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (1) Assure that program funds are used only for program services consistent with program requirements. (3) Ensure that program funds are expended within the time limitations set by OHCS. Program funds not expended within the time period may be recaptured by OHCS. (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (10) Maintain accurate financial records satisfactory to the department, which document, among other things, the receipt and disbursement of all funds provided through the program by the department; and have an accounting system in place satisfactory to the department, which meets, among other things, generally accepted accounting principles. Condition – Our testing noted the following exceptions: • 22 instances where check request and invoice could not be produced from a sample of 62 • 4 instances where the journal entry and corresponding back up could not be produced from a sample of 23. Moreover, $809,022 of costs associated with benefit services provided were not captured by the Agency. These amounts were noted during the review of Eligibility. However, these costs were noted by batches uploaded to the pass-through entity of the client. A detail of the expenses as it relates to payment of the disbursements to vendors could not be obtained and therefore not tested. These amounts represented benefit payments to individuals. A detail of the expenses was not available, as records supporting the batches under which reimbursement was requested were not retained. As a result, the auditors were unable to test these payments. We were unable to obtain sufficient, appropriate audit evidence related to these amounts. Cause – Supporting invoices or required documentation were not retained by the Agency to substantiate period of performance and earmarking costs. The Agency was not properly accounting for expenses incurred during the correct period. Effect – Expenditures could be made outside of the period of performance or costs could be captured incorrectly resulting in noncompliance with earmarking. Not properly recording the expenditures could result in expenditures being booked in the wrong grant period. Questioned Costs – $ 258,313, based on the populations sampled. An additional $809,022 was not recorded properly and was not able to be tested. Recommendation – Documentation should be prepared, reviewed, and retained to support the period of performance and earmarking. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. The Agency should review applications for when benefit was incurred to ensure that expenses are recorded in the proper period as opposed to when paid. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Period of Performance and Earmarking Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (1) Assure that program funds are used only for program services consistent with program requirements. (3) Ensure that program funds are expended within the time limitations set by OHCS. Program funds not expended within the time period may be recaptured by OHCS. (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (10) Maintain accurate financial records satisfactory to the department, which document, among other things, the receipt and disbursement of all funds provided through the program by the department; and have an accounting system in place satisfactory to the department, which meets, among other things, generally accepted accounting principles. Condition – Our testing noted the following exceptions: • 22 instances where check request and invoice could not be produced from a sample of 62 • 4 instances where the journal entry and corresponding back up could not be produced from a sample of 23. Moreover, $809,022 of costs associated with benefit services provided were not captured by the Agency. These amounts were noted during the review of Eligibility. However, these costs were noted by batches uploaded to the pass-through entity of the client. A detail of the expenses as it relates to payment of the disbursements to vendors could not be obtained and therefore not tested. These amounts represented benefit payments to individuals. A detail of the expenses was not available, as records supporting the batches under which reimbursement was requested were not retained. As a result, the auditors were unable to test these payments. We were unable to obtain sufficient, appropriate audit evidence related to these amounts. Cause – Supporting invoices or required documentation were not retained by the Agency to substantiate period of performance and earmarking costs. The Agency was not properly accounting for expenses incurred during the correct period. Effect – Expenditures could be made outside of the period of performance or costs could be captured incorrectly resulting in noncompliance with earmarking. Not properly recording the expenditures could result in expenditures being booked in the wrong grant period. Questioned Costs – $ 258,313, based on the populations sampled. An additional $809,022 was not recorded properly and was not able to be tested. Recommendation – Documentation should be prepared, reviewed, and retained to support the period of performance and earmarking. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. The Agency should review applications for when benefit was incurred to ensure that expenses are recorded in the proper period as opposed to when paid. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Period of Performance and Earmarking Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (1) Assure that program funds are used only for program services consistent with program requirements. (3) Ensure that program funds are expended within the time limitations set by OHCS. Program funds not expended within the time period may be recaptured by OHCS. (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (10) Maintain accurate financial records satisfactory to the department, which document, among other things, the receipt and disbursement of all funds provided through the program by the department; and have an accounting system in place satisfactory to the department, which meets, among other things, generally accepted accounting principles. Condition – Our testing noted the following exceptions: • 22 instances where check request and invoice could not be produced from a sample of 62 • 4 instances where the journal entry and corresponding back up could not be produced from a sample of 23. Moreover, $809,022 of costs associated with benefit services provided were not captured by the Agency. These amounts were noted during the review of Eligibility. However, these costs were noted by batches uploaded to the pass-through entity of the client. A detail of the expenses as it relates to payment of the disbursements to vendors could not be obtained and therefore not tested. These amounts represented benefit payments to individuals. A detail of the expenses was not available, as records supporting the batches under which reimbursement was requested were not retained. As a result, the auditors were unable to test these payments. We were unable to obtain sufficient, appropriate audit evidence related to these amounts. Cause – Supporting invoices or required documentation were not retained by the Agency to substantiate period of performance and earmarking costs. The Agency was not properly accounting for expenses incurred during the correct period. Effect – Expenditures could be made outside of the period of performance or costs could be captured incorrectly resulting in noncompliance with earmarking. Not properly recording the expenditures could result in expenditures being booked in the wrong grant period. Questioned Costs – $ 258,313, based on the populations sampled. An additional $809,022 was not recorded properly and was not able to be tested. Recommendation – Documentation should be prepared, reviewed, and retained to support the period of performance and earmarking. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. The Agency should review applications for when benefit was incurred to ensure that expenses are recorded in the proper period as opposed to when paid. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Period of Performance and Earmarking Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (1) Assure that program funds are used only for program services consistent with program requirements. (3) Ensure that program funds are expended within the time limitations set by OHCS. Program funds not expended within the time period may be recaptured by OHCS. (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (10) Maintain accurate financial records satisfactory to the department, which document, among other things, the receipt and disbursement of all funds provided through the program by the department; and have an accounting system in place satisfactory to the department, which meets, among other things, generally accepted accounting principles. Condition – Our testing noted the following exceptions: • 22 instances where check request and invoice could not be produced from a sample of 62 • 4 instances where the journal entry and corresponding back up could not be produced from a sample of 23. Moreover, $809,022 of costs associated with benefit services provided were not captured by the Agency. These amounts were noted during the review of Eligibility. However, these costs were noted by batches uploaded to the pass-through entity of the client. A detail of the expenses as it relates to payment of the disbursements to vendors could not be obtained and therefore not tested. These amounts represented benefit payments to individuals. A detail of the expenses was not available, as records supporting the batches under which reimbursement was requested were not retained. As a result, the auditors were unable to test these payments. We were unable to obtain sufficient, appropriate audit evidence related to these amounts. Cause – Supporting invoices or required documentation were not retained by the Agency to substantiate period of performance and earmarking costs. The Agency was not properly accounting for expenses incurred during the correct period. Effect – Expenditures could be made outside of the period of performance or costs could be captured incorrectly resulting in noncompliance with earmarking. Not properly recording the expenditures could result in expenditures being booked in the wrong grant period. Questioned Costs – $ 258,313, based on the populations sampled. An additional $809,022 was not recorded properly and was not able to be tested. Recommendation – Documentation should be prepared, reviewed, and retained to support the period of performance and earmarking. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. The Agency should review applications for when benefit was incurred to ensure that expenses are recorded in the proper period as opposed to when paid. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Eligibility Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (4) Serve only households whose eligibility has been determined in compliance with program requirements. (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (11) Maintain other program records satisfactory to the department, which document, among other things, client eligibility requirements, receipt of allowable program services, termination of services and the basis for same, housing and income status of clients, administrative actions, contracts with subcontractors, review of subcontractor performance, action taken with respect to deficiency notices, and any administrative review proceedings. Such records shall be in substance and format satisfactory to the department. Condition – In our sample of 60 items, we noted the following exceptions: • 3 instances where client applications could not be produced • 1 instance where client application did not contain evidence of a bill • 6 instances where the combo payment amount covering overages of another program could not be substantiated in terms of amount paid • 1 instance where crisis payment didn’t contain all elements of documentation required for amount paid • 4 instances where bulk fuel payments didn’t contain all elements of documentation required for information taken via quote or vendor The Agency was not able to provide a listing of payments made on behalf of clients corresponding to the fiscal year, and we were unable to reconcile the awards paid out to the cash received from the passthrough entity and the listing of applications approved during the year. Cause – Supporting applications and required documentation were not retained by the Agency to substantiate eligibility and services provided. Effect – Applicants could receive improper benefit amounts based on eligibility criteria, excessive disbursements could be made, and a return of funds could be required to grantor. Questioned Costs – $190,142, based on the populations sampled. Recommendation – Documentation should be prepared, reviewed, and retained to support the period of performance and earmarking. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Eligibility Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (4) Serve only households whose eligibility has been determined in compliance with program requirements. (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (11) Maintain other program records satisfactory to the department, which document, among other things, client eligibility requirements, receipt of allowable program services, termination of services and the basis for same, housing and income status of clients, administrative actions, contracts with subcontractors, review of subcontractor performance, action taken with respect to deficiency notices, and any administrative review proceedings. Such records shall be in substance and format satisfactory to the department. Condition – In our sample of 60 items, we noted the following exceptions: • 3 instances where client applications could not be produced • 1 instance where client application did not contain evidence of a bill • 6 instances where the combo payment amount covering overages of another program could not be substantiated in terms of amount paid • 1 instance where crisis payment didn’t contain all elements of documentation required for amount paid • 4 instances where bulk fuel payments didn’t contain all elements of documentation required for information taken via quote or vendor The Agency was not able to provide a listing of payments made on behalf of clients corresponding to the fiscal year, and we were unable to reconcile the awards paid out to the cash received from the passthrough entity and the listing of applications approved during the year. Cause – Supporting applications and required documentation were not retained by the Agency to substantiate eligibility and services provided. Effect – Applicants could receive improper benefit amounts based on eligibility criteria, excessive disbursements could be made, and a return of funds could be required to grantor. Questioned Costs – $190,142, based on the populations sampled. Recommendation – Documentation should be prepared, reviewed, and retained to support the period of performance and earmarking. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Eligibility Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (4) Serve only households whose eligibility has been determined in compliance with program requirements. (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (11) Maintain other program records satisfactory to the department, which document, among other things, client eligibility requirements, receipt of allowable program services, termination of services and the basis for same, housing and income status of clients, administrative actions, contracts with subcontractors, review of subcontractor performance, action taken with respect to deficiency notices, and any administrative review proceedings. Such records shall be in substance and format satisfactory to the department. Condition – In our sample of 60 items, we noted the following exceptions: • 3 instances where client applications could not be produced • 1 instance where client application did not contain evidence of a bill • 6 instances where the combo payment amount covering overages of another program could not be substantiated in terms of amount paid • 1 instance where crisis payment didn’t contain all elements of documentation required for amount paid • 4 instances where bulk fuel payments didn’t contain all elements of documentation required for information taken via quote or vendor The Agency was not able to provide a listing of payments made on behalf of clients corresponding to the fiscal year, and we were unable to reconcile the awards paid out to the cash received from the passthrough entity and the listing of applications approved during the year. Cause – Supporting applications and required documentation were not retained by the Agency to substantiate eligibility and services provided. Effect – Applicants could receive improper benefit amounts based on eligibility criteria, excessive disbursements could be made, and a return of funds could be required to grantor. Questioned Costs – $190,142, based on the populations sampled. Recommendation – Documentation should be prepared, reviewed, and retained to support the period of performance and earmarking. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Eligibility Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (4) Serve only households whose eligibility has been determined in compliance with program requirements. (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (11) Maintain other program records satisfactory to the department, which document, among other things, client eligibility requirements, receipt of allowable program services, termination of services and the basis for same, housing and income status of clients, administrative actions, contracts with subcontractors, review of subcontractor performance, action taken with respect to deficiency notices, and any administrative review proceedings. Such records shall be in substance and format satisfactory to the department. Condition – In our sample of 60 items, we noted the following exceptions: • 3 instances where client applications could not be produced • 1 instance where client application did not contain evidence of a bill • 6 instances where the combo payment amount covering overages of another program could not be substantiated in terms of amount paid • 1 instance where crisis payment didn’t contain all elements of documentation required for amount paid • 4 instances where bulk fuel payments didn’t contain all elements of documentation required for information taken via quote or vendor The Agency was not able to provide a listing of payments made on behalf of clients corresponding to the fiscal year, and we were unable to reconcile the awards paid out to the cash received from the passthrough entity and the listing of applications approved during the year. Cause – Supporting applications and required documentation were not retained by the Agency to substantiate eligibility and services provided. Effect – Applicants could receive improper benefit amounts based on eligibility criteria, excessive disbursements could be made, and a return of funds could be required to grantor. Questioned Costs – $190,142, based on the populations sampled. Recommendation – Documentation should be prepared, reviewed, and retained to support the period of performance and earmarking. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Eligibility Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (4) Serve only households whose eligibility has been determined in compliance with program requirements. (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (11) Maintain other program records satisfactory to the department, which document, among other things, client eligibility requirements, receipt of allowable program services, termination of services and the basis for same, housing and income status of clients, administrative actions, contracts with subcontractors, review of subcontractor performance, action taken with respect to deficiency notices, and any administrative review proceedings. Such records shall be in substance and format satisfactory to the department. Condition – In our sample of 60 items, we noted the following exceptions: • 3 instances where client applications could not be produced • 1 instance where client application did not contain evidence of a bill • 6 instances where the combo payment amount covering overages of another program could not be substantiated in terms of amount paid • 1 instance where crisis payment didn’t contain all elements of documentation required for amount paid • 4 instances where bulk fuel payments didn’t contain all elements of documentation required for information taken via quote or vendor The Agency was not able to provide a listing of payments made on behalf of clients corresponding to the fiscal year, and we were unable to reconcile the awards paid out to the cash received from the passthrough entity and the listing of applications approved during the year. Cause – Supporting applications and required documentation were not retained by the Agency to substantiate eligibility and services provided. Effect – Applicants could receive improper benefit amounts based on eligibility criteria, excessive disbursements could be made, and a return of funds could be required to grantor. Questioned Costs – $190,142, based on the populations sampled. Recommendation – Documentation should be prepared, reviewed, and retained to support the period of performance and earmarking. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Cash Management and Reporting Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (10) Maintain accurate financial records satisfactory to the department, which document, among other things, the receipt and disbursement of all funds provided through the program by the department; and have an accounting system in place satisfactory to the department, which meets, among other things, generally accepted accounting principles. (12) Provide the department with reports, data, and financial statements, in form and substance satisfactory to the department, as may be required or requested from time to time by the department, which shall be in a format prescribed by the department. (14) Assure that data collection and reporting, including data entry for program funded activities, be conducted through the use of an OHCS approved data collection system (such as ServicePoint and OPUS), where applicable by program requirements. (15) Ensure that data collection, entry and reporting occur in an accurate and timely manner as satisfactory to OHCS. Condition – The Agency did not maintain proper documentation in support of annual reporting requirements. Quarterly reports as required by the grant document were not filed. Cash request could not be substantiated nor could documentation to support amounts reimbursed be tied to supporting records. As a result of the lack of documentation, sufficient appropriate audit evidence could not be obtained in order to test reporting and cash management . Cause – Supporting records used to populate the required annual financial reporting were not retained by the Agency. The Agency stated quarterly reports were not required by grantor and therefore not filed, however the Agency was unable to provide documentation to support this inconsistency with the terms and conditions of the grant agreement for the first 3 quarters of the fiscal year. Reimbursement was provided as information was uploaded into the state pass-through system, however, as noted during our testing of eligibility; batches were uploaded months behind amounts being pledged to vendors on behalf of clients and no records were kept for amounts input for expenses outside of client assistance. Effect – The Agency could submit incorrect information. Non-reporting to the grantor can result in sanctions or loss of future funding. The Agency could request funds that may not have adequate supporting documentation which could lead to errors and loss of funding under this program. Questioned Costs – Not applicable. Recommendation – Documentation should be prepared, reviewed, and retained to support the reporting. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Grant agreements should be read in detail and information relevant to report requirements be provided to the appropriate personnel to prevent not filing required reports. Documentation should be provided that directly links the amount requested to the related expenditures to clearly document those funds are being used in a timely manner, that more was not requested than was expended, specifically what expenditures are being considered expended through these funds, and that funds requested applied to the correct period. Update policies and procedures as needed to reflect changes, if applicable. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Cash Management and Reporting Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (10) Maintain accurate financial records satisfactory to the department, which document, among other things, the receipt and disbursement of all funds provided through the program by the department; and have an accounting system in place satisfactory to the department, which meets, among other things, generally accepted accounting principles. (12) Provide the department with reports, data, and financial statements, in form and substance satisfactory to the department, as may be required or requested from time to time by the department, which shall be in a format prescribed by the department. (14) Assure that data collection and reporting, including data entry for program funded activities, be conducted through the use of an OHCS approved data collection system (such as ServicePoint and OPUS), where applicable by program requirements. (15) Ensure that data collection, entry and reporting occur in an accurate and timely manner as satisfactory to OHCS. Condition – The Agency did not maintain proper documentation in support of annual reporting requirements. Quarterly reports as required by the grant document were not filed. Cash request could not be substantiated nor could documentation to support amounts reimbursed be tied to supporting records. As a result of the lack of documentation, sufficient appropriate audit evidence could not be obtained in order to test reporting and cash management . Cause – Supporting records used to populate the required annual financial reporting were not retained by the Agency. The Agency stated quarterly reports were not required by grantor and therefore not filed, however the Agency was unable to provide documentation to support this inconsistency with the terms and conditions of the grant agreement for the first 3 quarters of the fiscal year. Reimbursement was provided as information was uploaded into the state pass-through system, however, as noted during our testing of eligibility; batches were uploaded months behind amounts being pledged to vendors on behalf of clients and no records were kept for amounts input for expenses outside of client assistance. Effect – The Agency could submit incorrect information. Non-reporting to the grantor can result in sanctions or loss of future funding. The Agency could request funds that may not have adequate supporting documentation which could lead to errors and loss of funding under this program. Questioned Costs – Not applicable. Recommendation – Documentation should be prepared, reviewed, and retained to support the reporting. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Grant agreements should be read in detail and information relevant to report requirements be provided to the appropriate personnel to prevent not filing required reports. Documentation should be provided that directly links the amount requested to the related expenditures to clearly document those funds are being used in a timely manner, that more was not requested than was expended, specifically what expenditures are being considered expended through these funds, and that funds requested applied to the correct period. Update policies and procedures as needed to reflect changes, if applicable. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Cash Management and Reporting Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (10) Maintain accurate financial records satisfactory to the department, which document, among other things, the receipt and disbursement of all funds provided through the program by the department; and have an accounting system in place satisfactory to the department, which meets, among other things, generally accepted accounting principles. (12) Provide the department with reports, data, and financial statements, in form and substance satisfactory to the department, as may be required or requested from time to time by the department, which shall be in a format prescribed by the department. (14) Assure that data collection and reporting, including data entry for program funded activities, be conducted through the use of an OHCS approved data collection system (such as ServicePoint and OPUS), where applicable by program requirements. (15) Ensure that data collection, entry and reporting occur in an accurate and timely manner as satisfactory to OHCS. Condition – The Agency did not maintain proper documentation in support of annual reporting requirements. Quarterly reports as required by the grant document were not filed. Cash request could not be substantiated nor could documentation to support amounts reimbursed be tied to supporting records. As a result of the lack of documentation, sufficient appropriate audit evidence could not be obtained in order to test reporting and cash management . Cause – Supporting records used to populate the required annual financial reporting were not retained by the Agency. The Agency stated quarterly reports were not required by grantor and therefore not filed, however the Agency was unable to provide documentation to support this inconsistency with the terms and conditions of the grant agreement for the first 3 quarters of the fiscal year. Reimbursement was provided as information was uploaded into the state pass-through system, however, as noted during our testing of eligibility; batches were uploaded months behind amounts being pledged to vendors on behalf of clients and no records were kept for amounts input for expenses outside of client assistance. Effect – The Agency could submit incorrect information. Non-reporting to the grantor can result in sanctions or loss of future funding. The Agency could request funds that may not have adequate supporting documentation which could lead to errors and loss of funding under this program. Questioned Costs – Not applicable. Recommendation – Documentation should be prepared, reviewed, and retained to support the reporting. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Grant agreements should be read in detail and information relevant to report requirements be provided to the appropriate personnel to prevent not filing required reports. Documentation should be provided that directly links the amount requested to the related expenditures to clearly document those funds are being used in a timely manner, that more was not requested than was expended, specifically what expenditures are being considered expended through these funds, and that funds requested applied to the correct period. Update policies and procedures as needed to reflect changes, if applicable. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Cash Management and Reporting Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (10) Maintain accurate financial records satisfactory to the department, which document, among other things, the receipt and disbursement of all funds provided through the program by the department; and have an accounting system in place satisfactory to the department, which meets, among other things, generally accepted accounting principles. (12) Provide the department with reports, data, and financial statements, in form and substance satisfactory to the department, as may be required or requested from time to time by the department, which shall be in a format prescribed by the department. (14) Assure that data collection and reporting, including data entry for program funded activities, be conducted through the use of an OHCS approved data collection system (such as ServicePoint and OPUS), where applicable by program requirements. (15) Ensure that data collection, entry and reporting occur in an accurate and timely manner as satisfactory to OHCS. Condition – The Agency did not maintain proper documentation in support of annual reporting requirements. Quarterly reports as required by the grant document were not filed. Cash request could not be substantiated nor could documentation to support amounts reimbursed be tied to supporting records. As a result of the lack of documentation, sufficient appropriate audit evidence could not be obtained in order to test reporting and cash management . Cause – Supporting records used to populate the required annual financial reporting were not retained by the Agency. The Agency stated quarterly reports were not required by grantor and therefore not filed, however the Agency was unable to provide documentation to support this inconsistency with the terms and conditions of the grant agreement for the first 3 quarters of the fiscal year. Reimbursement was provided as information was uploaded into the state pass-through system, however, as noted during our testing of eligibility; batches were uploaded months behind amounts being pledged to vendors on behalf of clients and no records were kept for amounts input for expenses outside of client assistance. Effect – The Agency could submit incorrect information. Non-reporting to the grantor can result in sanctions or loss of future funding. The Agency could request funds that may not have adequate supporting documentation which could lead to errors and loss of funding under this program. Questioned Costs – Not applicable. Recommendation – Documentation should be prepared, reviewed, and retained to support the reporting. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Grant agreements should be read in detail and information relevant to report requirements be provided to the appropriate personnel to prevent not filing required reports. Documentation should be provided that directly links the amount requested to the related expenditures to clearly document those funds are being used in a timely manner, that more was not requested than was expended, specifically what expenditures are being considered expended through these funds, and that funds requested applied to the correct period. Update policies and procedures as needed to reflect changes, if applicable. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.
Cash Management and Reporting Low-Income Home Energy Assistance ALN# 93.568 US Department of Health and Human Services Passed through Oregon Housing and Community Services Federal Grant/Contract Number: 2021ORLIEA, 2022ORLIEA, 2102ORE5C, 2101ORLWC5, 2102ORLWC6 Grant period – 2021 & 2022 Criteria – Per the 2021-2023 Master Grant Agreement. Subgrantee shall, and shall cause and shall require its subrecipients by contract to administer the program in a manner satisfactory to OHCS and in compliance with all program requirements, including but not limited to the following terms and conditions: (8) Be responsible for maintaining an internal controls framework, satisfactory to OHCS, which assures compliance with program requirements. (10) Maintain accurate financial records satisfactory to the department, which document, among other things, the receipt and disbursement of all funds provided through the program by the department; and have an accounting system in place satisfactory to the department, which meets, among other things, generally accepted accounting principles. (12) Provide the department with reports, data, and financial statements, in form and substance satisfactory to the department, as may be required or requested from time to time by the department, which shall be in a format prescribed by the department. (14) Assure that data collection and reporting, including data entry for program funded activities, be conducted through the use of an OHCS approved data collection system (such as ServicePoint and OPUS), where applicable by program requirements. (15) Ensure that data collection, entry and reporting occur in an accurate and timely manner as satisfactory to OHCS. Condition – The Agency did not maintain proper documentation in support of annual reporting requirements. Quarterly reports as required by the grant document were not filed. Cash request could not be substantiated nor could documentation to support amounts reimbursed be tied to supporting records. As a result of the lack of documentation, sufficient appropriate audit evidence could not be obtained in order to test reporting and cash management . Cause – Supporting records used to populate the required annual financial reporting were not retained by the Agency. The Agency stated quarterly reports were not required by grantor and therefore not filed, however the Agency was unable to provide documentation to support this inconsistency with the terms and conditions of the grant agreement for the first 3 quarters of the fiscal year. Reimbursement was provided as information was uploaded into the state pass-through system, however, as noted during our testing of eligibility; batches were uploaded months behind amounts being pledged to vendors on behalf of clients and no records were kept for amounts input for expenses outside of client assistance. Effect – The Agency could submit incorrect information. Non-reporting to the grantor can result in sanctions or loss of future funding. The Agency could request funds that may not have adequate supporting documentation which could lead to errors and loss of funding under this program. Questioned Costs – Not applicable. Recommendation – Documentation should be prepared, reviewed, and retained to support the reporting. The documentation should clearly document who prepared the information, who reviewed the information, and that the reviewer considered whether the information was complete and accurate. Grant agreements should be read in detail and information relevant to report requirements be provided to the appropriate personnel to prevent not filing required reports. Documentation should be provided that directly links the amount requested to the related expenditures to clearly document those funds are being used in a timely manner, that more was not requested than was expended, specifically what expenditures are being considered expended through these funds, and that funds requested applied to the correct period. Update policies and procedures as needed to reflect changes, if applicable. Management’s Response – Management has reviewed and accepted the finding. See “Corrective Action Plan”.