Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Special Programs for the Aging
Assistance Listing Number: 93.Aging Cluster
Award Period: July 1, 2022 – June 30, 2023
Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters
Condition/Context: For 21 of the 21 cash disbursements tested, there was no indication of review and
approval over the expense by a secondary, independent individual separate from the requestor.
Criteria or specific requirement: In accordance with the Compliance Supplement, Part 6 – Internal
Control, 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.
Cause: The Organization did not have established sufficient controls designed to ensure adequate
segregation of duties in the cash distribution process. Disbursements to US Foods were established as
an automatic debit and therefore did not have individual approvals.
Effect: The Organization was not in compliance with the Compliance Supplement related to
establishing and maintaining internal controls over federal awards.
Repeat Finding: No
Recommendation: We recommend that the Organization implement policies and procedures
surrounding the cash disbursement process that ensures all disbursements are reviewed and approved
by a second, independent individual.
Views of responsible officials: Management agrees with the audit condition.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Special Programs for the Aging
Assistance Listing Number: 93.Aging Cluster
Award Period: July 1, 2022 – June 30, 2023
Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters
Condition/Context: For the calculation of the 15% non-federal matching contribution requirement,
there was no indication of review or approval by a secondary, independent individual separate from the
preparer.
Criteria or specific requirement: In accordance with the Compliance Supplement, Part 6 – Internal
Control, 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.
Cause: The Organization did not have established internal controls designed to ensure adequate
segregation of duties for calculating the matching requirement.
Effect: The Organization was not in compliance with the Compliance Supplement related to
establishing and maintaining internal controls over federal awards.
Repeat Finding: No
Recommendation: We recommend that the Organization implement policies and procedures that
ensure the calculation of the matching requirement is reviewed and approved by a second,
independent individual.
Views of responsible officials: Management agrees with the audit condition.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Special Programs for the Aging
Assistance Listing Number: 93.Aging Cluster
Award Period: July 1, 2022 – June 30, 2023
Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters
Condition/Context: For 21 of the 21 cash disbursements tested, there was no indication of review and
approval over the expense by a secondary, independent individual separate from the requestor.
Criteria or specific requirement: In accordance with the Compliance Supplement, Part 6 – Internal
Control, 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.
Cause: The Organization did not have established sufficient controls designed to ensure adequate
segregation of duties in the cash distribution process. Disbursements to US Foods were established as
an automatic debit and therefore did not have individual approvals.
Effect: The Organization was not in compliance with the Compliance Supplement related to
establishing and maintaining internal controls over federal awards.
Repeat Finding: No
Recommendation: We recommend that the Organization implement policies and procedures
surrounding the cash disbursement process that ensures all disbursements are reviewed and approved
by a second, independent individual.
Views of responsible officials: Management agrees with the audit condition.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Special Programs for the Aging
Assistance Listing Number: 93.Aging Cluster
Award Period: July 1, 2022 – June 30, 2023
Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters
Condition/Context: For the calculation of the 15% non-federal matching contribution requirement,
there was no indication of review or approval by a secondary, independent individual separate from the
preparer.
Criteria or specific requirement: In accordance with the Compliance Supplement, Part 6 – Internal
Control, 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.
Cause: The Organization did not have established internal controls designed to ensure adequate
segregation of duties for calculating the matching requirement.
Effect: The Organization was not in compliance with the Compliance Supplement related to
establishing and maintaining internal controls over federal awards.
Repeat Finding: No
Recommendation: We recommend that the Organization implement policies and procedures that
ensure the calculation of the matching requirement is reviewed and approved by a second,
independent individual.
Views of responsible officials: Management agrees with the audit condition.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Special Programs for the Aging
Assistance Listing Number: 93.Aging Cluster
Award Period: July 1, 2022 – June 30, 2023
Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters
Condition/Context: For 21 of the 21 cash disbursements tested, there was no indication of review and
approval over the expense by a secondary, independent individual separate from the requestor.
Criteria or specific requirement: In accordance with the Compliance Supplement, Part 6 – Internal
Control, 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.
Cause: The Organization did not have established sufficient controls designed to ensure adequate
segregation of duties in the cash distribution process. Disbursements to US Foods were established as
an automatic debit and therefore did not have individual approvals.
Effect: The Organization was not in compliance with the Compliance Supplement related to
establishing and maintaining internal controls over federal awards.
Repeat Finding: No
Recommendation: We recommend that the Organization implement policies and procedures
surrounding the cash disbursement process that ensures all disbursements are reviewed and approved
by a second, independent individual.
Views of responsible officials: Management agrees with the audit condition.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Special Programs for the Aging
Assistance Listing Number: 93.Aging Cluster
Award Period: July 1, 2022 – June 30, 2023
Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters
Condition/Context: For the calculation of the 15% non-federal matching contribution requirement,
there was no indication of review or approval by a secondary, independent individual separate from the
preparer.
Criteria or specific requirement: In accordance with the Compliance Supplement, Part 6 – Internal
Control, 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.
Cause: The Organization did not have established internal controls designed to ensure adequate
segregation of duties for calculating the matching requirement.
Effect: The Organization was not in compliance with the Compliance Supplement related to
establishing and maintaining internal controls over federal awards.
Repeat Finding: No
Recommendation: We recommend that the Organization implement policies and procedures that
ensure the calculation of the matching requirement is reviewed and approved by a second,
independent individual.
Views of responsible officials: Management agrees with the audit condition.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Activities to Support State, Tribal, Local and Territorial (STLT) Health
Department Response to Public Health or Healthcare Crises
Assistance Listing Number: 93.391
Award Period: April 1, 2022 – May 31, 2024
Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters
Condition/Context: For 3 of the 13 cash disbursements tested, there was no indication of review and
approval over the expense by a secondary, independent individual separate from the requestor.
Criteria or specific requirement: In accordance with the Compliance Supplement, Part 6 – Internal
Control, 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.
Cause: The Organization did not have established sufficient controls designed to ensure adequate
segregation of duties in the cash distribution process. Credit card disbursements did not have individual
approvals.
Effect: The Organization was not in compliance with the Compliance Supplement related to
establishing and maintaining internal controls over federal awards.
Repeat Finding: No
Recommendation: We recommend that the Organization implement policies and procedures
surrounding the cash disbursement process that ensures all disbursements are reviewed and approved
by a second, independent individual.
Views of responsible officials: Management agrees with the audit condition.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Activities to Support State, Tribal, Local and Territorial (STLT) Health
Department Response to Public Health or Healthcare Crises
Assistance Listing Number: 93.391
Award Period: April 1, 2022 – May 31, 2024
Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters
Condition/Context: For the calculation of the cash management requirement for all periods during the
fiscal year, there was no indication of review or approval by a secondary, independent individual
separate from the preparer.
Criteria or specific requirement: In accordance with the Compliance Supplement, Part 6 – Internal
Control, 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.
Cause: The Organization did not have established internal controls designed to ensure adequate
segregation of duties over cash management.
Effect: The Organization was not in compliance with the Compliance Supplement related to
establishing and maintaining internal controls over federal awards.
Repeat Finding: No
Recommendation: We recommend that the Organization implement policies and procedures that
ensure the cash management requirement is reviewed and approved by a second, independent
individual.
Views of responsible officials: Management agrees with the audit condition.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Activities to Support State, Tribal, Local and Territorial (STLT) Health
Department Response to Public Health or Healthcare Crises
Assistance Listing Number: 93.391
Award Period: April 1, 2022 – May 31, 2024
Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters
Condition/Context: For the calculation of indirect costs for all periods during the fiscal year, there was
no indication of review or approval by a secondary, independent individual separate from the preparer.
Criteria or specific requirement: In accordance with the Compliance Supplement, Part 6 – Internal
Control, 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.
Cause: The Organization did not have established internal controls designed to ensure adequate
segregation of duties over the indirect cost calculation.
Effect: The Organization was not in compliance with the Compliance Supplement related to
establishing and maintaining internal controls over federal awards.
Repeat Finding: No
Recommendation: We recommend that the Organization implement policies and procedures that
ensure the indirect cost calculation is reviewed and approved by a second, independent individual.
Views of responsible officials: Management agrees with the audit condition.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Activities to Support State, Tribal, Local and Territorial (STLT) Health
Department Response to Public Health or Healthcare Crises
Assistance Listing Number: 93.391
Award Period: April 1, 2022 – May 31, 2024
Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters
Condition/Context: For the quarterly financial and performance reports submitted during the fiscal
year, there was no indication of review or approval by a secondary, independent individual separate
from the preparer.
Criteria or specific requirement: In accordance with the Compliance Supplement, Part 6 – Internal
Control, 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.
Cause: The Organization did not have established internal controls designed to ensure adequate
segregation of duties over reporting.
Effect: The Organization was not in compliance with the Compliance Supplement related to
establishing and maintaining internal controls over federal awards.
Repeat Finding: No
Recommendation: We recommend that the Organization implement policies and procedures that
ensure required reports are reviewed and approved by a second, independent individual.
Views of responsible officials: Management agrees with the audit condition.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Special Programs for the Aging
Assistance Listing Number: 93.Aging Cluster
Award Period: July 1, 2022 – June 30, 2023
Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters
Condition/Context: For 21 of the 21 cash disbursements tested, there was no indication of review and
approval over the expense by a secondary, independent individual separate from the requestor.
Criteria or specific requirement: In accordance with the Compliance Supplement, Part 6 – Internal
Control, 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.
Cause: The Organization did not have established sufficient controls designed to ensure adequate
segregation of duties in the cash distribution process. Disbursements to US Foods were established as
an automatic debit and therefore did not have individual approvals.
Effect: The Organization was not in compliance with the Compliance Supplement related to
establishing and maintaining internal controls over federal awards.
Repeat Finding: No
Recommendation: We recommend that the Organization implement policies and procedures
surrounding the cash disbursement process that ensures all disbursements are reviewed and approved
by a second, independent individual.
Views of responsible officials: Management agrees with the audit condition.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Special Programs for the Aging
Assistance Listing Number: 93.Aging Cluster
Award Period: July 1, 2022 – June 30, 2023
Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters
Condition/Context: For the calculation of the 15% non-federal matching contribution requirement,
there was no indication of review or approval by a secondary, independent individual separate from the
preparer.
Criteria or specific requirement: In accordance with the Compliance Supplement, Part 6 – Internal
Control, 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.
Cause: The Organization did not have established internal controls designed to ensure adequate
segregation of duties for calculating the matching requirement.
Effect: The Organization was not in compliance with the Compliance Supplement related to
establishing and maintaining internal controls over federal awards.
Repeat Finding: No
Recommendation: We recommend that the Organization implement policies and procedures that
ensure the calculation of the matching requirement is reviewed and approved by a second,
independent individual.
Views of responsible officials: Management agrees with the audit condition.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Special Programs for the Aging
Assistance Listing Number: 93.Aging Cluster
Award Period: July 1, 2022 – June 30, 2023
Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters
Condition/Context: For 21 of the 21 cash disbursements tested, there was no indication of review and
approval over the expense by a secondary, independent individual separate from the requestor.
Criteria or specific requirement: In accordance with the Compliance Supplement, Part 6 – Internal
Control, 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.
Cause: The Organization did not have established sufficient controls designed to ensure adequate
segregation of duties in the cash distribution process. Disbursements to US Foods were established as
an automatic debit and therefore did not have individual approvals.
Effect: The Organization was not in compliance with the Compliance Supplement related to
establishing and maintaining internal controls over federal awards.
Repeat Finding: No
Recommendation: We recommend that the Organization implement policies and procedures
surrounding the cash disbursement process that ensures all disbursements are reviewed and approved
by a second, independent individual.
Views of responsible officials: Management agrees with the audit condition.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Special Programs for the Aging
Assistance Listing Number: 93.Aging Cluster
Award Period: July 1, 2022 – June 30, 2023
Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters
Condition/Context: For the calculation of the 15% non-federal matching contribution requirement,
there was no indication of review or approval by a secondary, independent individual separate from the
preparer.
Criteria or specific requirement: In accordance with the Compliance Supplement, Part 6 – Internal
Control, 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.
Cause: The Organization did not have established internal controls designed to ensure adequate
segregation of duties for calculating the matching requirement.
Effect: The Organization was not in compliance with the Compliance Supplement related to
establishing and maintaining internal controls over federal awards.
Repeat Finding: No
Recommendation: We recommend that the Organization implement policies and procedures that
ensure the calculation of the matching requirement is reviewed and approved by a second,
independent individual.
Views of responsible officials: Management agrees with the audit condition.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Special Programs for the Aging
Assistance Listing Number: 93.Aging Cluster
Award Period: July 1, 2022 – June 30, 2023
Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters
Condition/Context: For 21 of the 21 cash disbursements tested, there was no indication of review and
approval over the expense by a secondary, independent individual separate from the requestor.
Criteria or specific requirement: In accordance with the Compliance Supplement, Part 6 – Internal
Control, 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.
Cause: The Organization did not have established sufficient controls designed to ensure adequate
segregation of duties in the cash distribution process. Disbursements to US Foods were established as
an automatic debit and therefore did not have individual approvals.
Effect: The Organization was not in compliance with the Compliance Supplement related to
establishing and maintaining internal controls over federal awards.
Repeat Finding: No
Recommendation: We recommend that the Organization implement policies and procedures
surrounding the cash disbursement process that ensures all disbursements are reviewed and approved
by a second, independent individual.
Views of responsible officials: Management agrees with the audit condition.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Special Programs for the Aging
Assistance Listing Number: 93.Aging Cluster
Award Period: July 1, 2022 – June 30, 2023
Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters
Condition/Context: For the calculation of the 15% non-federal matching contribution requirement,
there was no indication of review or approval by a secondary, independent individual separate from the
preparer.
Criteria or specific requirement: In accordance with the Compliance Supplement, Part 6 – Internal
Control, 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.
Cause: The Organization did not have established internal controls designed to ensure adequate
segregation of duties for calculating the matching requirement.
Effect: The Organization was not in compliance with the Compliance Supplement related to
establishing and maintaining internal controls over federal awards.
Repeat Finding: No
Recommendation: We recommend that the Organization implement policies and procedures that
ensure the calculation of the matching requirement is reviewed and approved by a second,
independent individual.
Views of responsible officials: Management agrees with the audit condition.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Activities to Support State, Tribal, Local and Territorial (STLT) Health
Department Response to Public Health or Healthcare Crises
Assistance Listing Number: 93.391
Award Period: April 1, 2022 – May 31, 2024
Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters
Condition/Context: For 3 of the 13 cash disbursements tested, there was no indication of review and
approval over the expense by a secondary, independent individual separate from the requestor.
Criteria or specific requirement: In accordance with the Compliance Supplement, Part 6 – Internal
Control, 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.
Cause: The Organization did not have established sufficient controls designed to ensure adequate
segregation of duties in the cash distribution process. Credit card disbursements did not have individual
approvals.
Effect: The Organization was not in compliance with the Compliance Supplement related to
establishing and maintaining internal controls over federal awards.
Repeat Finding: No
Recommendation: We recommend that the Organization implement policies and procedures
surrounding the cash disbursement process that ensures all disbursements are reviewed and approved
by a second, independent individual.
Views of responsible officials: Management agrees with the audit condition.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Activities to Support State, Tribal, Local and Territorial (STLT) Health
Department Response to Public Health or Healthcare Crises
Assistance Listing Number: 93.391
Award Period: April 1, 2022 – May 31, 2024
Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters
Condition/Context: For the calculation of the cash management requirement for all periods during the
fiscal year, there was no indication of review or approval by a secondary, independent individual
separate from the preparer.
Criteria or specific requirement: In accordance with the Compliance Supplement, Part 6 – Internal
Control, 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.
Cause: The Organization did not have established internal controls designed to ensure adequate
segregation of duties over cash management.
Effect: The Organization was not in compliance with the Compliance Supplement related to
establishing and maintaining internal controls over federal awards.
Repeat Finding: No
Recommendation: We recommend that the Organization implement policies and procedures that
ensure the cash management requirement is reviewed and approved by a second, independent
individual.
Views of responsible officials: Management agrees with the audit condition.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Activities to Support State, Tribal, Local and Territorial (STLT) Health
Department Response to Public Health or Healthcare Crises
Assistance Listing Number: 93.391
Award Period: April 1, 2022 – May 31, 2024
Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters
Condition/Context: For the calculation of indirect costs for all periods during the fiscal year, there was
no indication of review or approval by a secondary, independent individual separate from the preparer.
Criteria or specific requirement: In accordance with the Compliance Supplement, Part 6 – Internal
Control, 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.
Cause: The Organization did not have established internal controls designed to ensure adequate
segregation of duties over the indirect cost calculation.
Effect: The Organization was not in compliance with the Compliance Supplement related to
establishing and maintaining internal controls over federal awards.
Repeat Finding: No
Recommendation: We recommend that the Organization implement policies and procedures that
ensure the indirect cost calculation is reviewed and approved by a second, independent individual.
Views of responsible officials: Management agrees with the audit condition.
Federal Agency: U.S. Department of Health and Human Services
Federal Program Name: Activities to Support State, Tribal, Local and Territorial (STLT) Health
Department Response to Public Health or Healthcare Crises
Assistance Listing Number: 93.391
Award Period: April 1, 2022 – May 31, 2024
Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matters
Condition/Context: For the quarterly financial and performance reports submitted during the fiscal
year, there was no indication of review or approval by a secondary, independent individual separate
from the preparer.
Criteria or specific requirement: In accordance with the Compliance Supplement, Part 6 – Internal
Control, 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.
Cause: The Organization did not have established internal controls designed to ensure adequate
segregation of duties over reporting.
Effect: The Organization was not in compliance with the Compliance Supplement related to
establishing and maintaining internal controls over federal awards.
Repeat Finding: No
Recommendation: We recommend that the Organization implement policies and procedures that
ensure required reports are reviewed and approved by a second, independent individual.
Views of responsible officials: Management agrees with the audit condition.