FAC Explorer

Audit 6749

FY End
2023-06-30
Total Expended
$18.51M
Findings
8
Programs
4
Organization: Clinicas Del Camino Real, Inc. (CA)
Year: 2023 Accepted: 2023-12-14
Auditor: Wipfli LLP

Organization Exclusion Status:

Findings

ID Ref Severity Repeat Requirement
4327 2023-002 Significant Deficiency - N
4328 2023-002 Significant Deficiency - N
4329 2023-002 Significant Deficiency - N
4330 2023-002 Significant Deficiency - N
580769 2023-002 Significant Deficiency - N
580770 2023-002 Significant Deficiency - N
580771 2023-002 Significant Deficiency - N
580772 2023-002 Significant Deficiency - N

Programs

ALN Program Spent Major Findings
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $4.83M Yes 1
93.498 Provider Relief Fund $1.26M Yes 0
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $1.00M Yes 1
93.778 Medical Assistance Program $229,875 - 0

Contacts

Name Title Type
KXMFDZCJYGF1 Fred Benharash Auditee
8056591740 Jeff Johnson Auditor
No contacts on file

Notes to SEFA

Title: Note 1: General Accounting Policies: Note 2: Summary of Significant Accounting Policies With the exception expenditures related to the Provider Relief Fund (PRF), expenditures on the Schedule are reported on the accrual basis of accounting and are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Expenditures reported on the Schedule for PRF are based on the PRF period of availability, terms and conditions of the PRF program, and amounts reported in the PRF portal for the reporting period 4, due March 31, 2023. De Minimis Rate Used: N Rate Explanation: Note 3: Indirect Cost Rate Clinicas Del Camino Real, Inc. and Subsidiaries have elected not to use the 10-percent de minimis indirect cost rate allowed under the Uniform Guidance. The accompanying schedule of expenditures of federal (the “Schedule”) includes the federal grant activity of Clinicas Del Camino Real, Inc. and Subsidiaries under programs of the federal government for the year ended June 30, 2023. The information in the Schedule is presented in accordance with requirements of the Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles and Audit Requirements for Federal Awards (“Uniform Guidance”). Because the Schedule presents only a selected portion of the operations of Clinicas Del Camino Real, Inc. and Subsidiaries, it is not intended to and does not present the financial position, changes in net assets, or cash flows of Clinicas Del Camino Real, Inc. and Subsidiaries.
Title: Note 4: Subrecipients Accounting Policies: Note 2: Summary of Significant Accounting Policies With the exception expenditures related to the Provider Relief Fund (PRF), expenditures on the Schedule are reported on the accrual basis of accounting and are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Expenditures reported on the Schedule for PRF are based on the PRF period of availability, terms and conditions of the PRF program, and amounts reported in the PRF portal for the reporting period 4, due March 31, 2023. De Minimis Rate Used: N Rate Explanation: Note 3: Indirect Cost Rate Clinicas Del Camino Real, Inc. and Subsidiaries have elected not to use the 10-percent de minimis indirect cost rate allowed under the Uniform Guidance. Clinicas Del Camino Real, Inc. and Subsidiaries do not have any subrecipients of federal awards.

Finding Details

Finding 2023-002
inding 2023-002 Program Name/AL Title: Health Center Program Cluster Federal Assistance Listing Number: 93.224 and 93.527 Federal Agency: U.S. Department of Health and Human Services Type of Finding: Significant Deficiecy/Noncompliance Compliance Requirement: Special Tests and Provisions Condition: The Organization lacked adequate controls over its sliding fee discount program to ensure that patients received the correct discount. Criteria: Health Centers must maintain a sliding fee discount policy and apply a sliding fee discount based on patient's ability to pay (42 USC 254(k((3)(E), (F), (G); 42 CFR sections 53c.303(e), (f), and (g); and 42 CFR sections 56.303(e), (f), and (g)). Context: In testing patients receiving discounts under the Organization's sliding fee schedule, we noted that for 4 of 42 patients selected for testing the Organization incorrectly applied the discount or were put in the incorrect category based on income and family size. Cause: The Organization's review process was not effective in verifying the sliding fee discount was correctly calculated and applied in accordance with the Organization's policy. Effect: There is an increased risk that discounts may be given to patients not eligible to receive a discount, or incorrect discounts may be provided for patient eligible to receive a discount. Recommendation: We recommend the Organization periodically review patients receiving discounts under the sliding fee schedule program to ensure that the correct discounts are being applied based on the current sliding fee schedule. View of Responsible Officials: The Organization will implement procedures for reviewing sliding fee discounts and provide additional training to staff for calculating those discounts.
Finding 2023-002
inding 2023-002 Program Name/AL Title: Health Center Program Cluster Federal Assistance Listing Number: 93.224 and 93.527 Federal Agency: U.S. Department of Health and Human Services Type of Finding: Significant Deficiecy/Noncompliance Compliance Requirement: Special Tests and Provisions Condition: The Organization lacked adequate controls over its sliding fee discount program to ensure that patients received the correct discount. Criteria: Health Centers must maintain a sliding fee discount policy and apply a sliding fee discount based on patient's ability to pay (42 USC 254(k((3)(E), (F), (G); 42 CFR sections 53c.303(e), (f), and (g); and 42 CFR sections 56.303(e), (f), and (g)). Context: In testing patients receiving discounts under the Organization's sliding fee schedule, we noted that for 4 of 42 patients selected for testing the Organization incorrectly applied the discount or were put in the incorrect category based on income and family size. Cause: The Organization's review process was not effective in verifying the sliding fee discount was correctly calculated and applied in accordance with the Organization's policy. Effect: There is an increased risk that discounts may be given to patients not eligible to receive a discount, or incorrect discounts may be provided for patient eligible to receive a discount. Recommendation: We recommend the Organization periodically review patients receiving discounts under the sliding fee schedule program to ensure that the correct discounts are being applied based on the current sliding fee schedule. View of Responsible Officials: The Organization will implement procedures for reviewing sliding fee discounts and provide additional training to staff for calculating those discounts.
Finding 2023-002
inding 2023-002 Program Name/AL Title: Health Center Program Cluster Federal Assistance Listing Number: 93.224 and 93.527 Federal Agency: U.S. Department of Health and Human Services Type of Finding: Significant Deficiecy/Noncompliance Compliance Requirement: Special Tests and Provisions Condition: The Organization lacked adequate controls over its sliding fee discount program to ensure that patients received the correct discount. Criteria: Health Centers must maintain a sliding fee discount policy and apply a sliding fee discount based on patient's ability to pay (42 USC 254(k((3)(E), (F), (G); 42 CFR sections 53c.303(e), (f), and (g); and 42 CFR sections 56.303(e), (f), and (g)). Context: In testing patients receiving discounts under the Organization's sliding fee schedule, we noted that for 4 of 42 patients selected for testing the Organization incorrectly applied the discount or were put in the incorrect category based on income and family size. Cause: The Organization's review process was not effective in verifying the sliding fee discount was correctly calculated and applied in accordance with the Organization's policy. Effect: There is an increased risk that discounts may be given to patients not eligible to receive a discount, or incorrect discounts may be provided for patient eligible to receive a discount. Recommendation: We recommend the Organization periodically review patients receiving discounts under the sliding fee schedule program to ensure that the correct discounts are being applied based on the current sliding fee schedule. View of Responsible Officials: The Organization will implement procedures for reviewing sliding fee discounts and provide additional training to staff for calculating those discounts.
Finding 2023-002
inding 2023-002 Program Name/AL Title: Health Center Program Cluster Federal Assistance Listing Number: 93.224 and 93.527 Federal Agency: U.S. Department of Health and Human Services Type of Finding: Significant Deficiecy/Noncompliance Compliance Requirement: Special Tests and Provisions Condition: The Organization lacked adequate controls over its sliding fee discount program to ensure that patients received the correct discount. Criteria: Health Centers must maintain a sliding fee discount policy and apply a sliding fee discount based on patient's ability to pay (42 USC 254(k((3)(E), (F), (G); 42 CFR sections 53c.303(e), (f), and (g); and 42 CFR sections 56.303(e), (f), and (g)). Context: In testing patients receiving discounts under the Organization's sliding fee schedule, we noted that for 4 of 42 patients selected for testing the Organization incorrectly applied the discount or were put in the incorrect category based on income and family size. Cause: The Organization's review process was not effective in verifying the sliding fee discount was correctly calculated and applied in accordance with the Organization's policy. Effect: There is an increased risk that discounts may be given to patients not eligible to receive a discount, or incorrect discounts may be provided for patient eligible to receive a discount. Recommendation: We recommend the Organization periodically review patients receiving discounts under the sliding fee schedule program to ensure that the correct discounts are being applied based on the current sliding fee schedule. View of Responsible Officials: The Organization will implement procedures for reviewing sliding fee discounts and provide additional training to staff for calculating those discounts.
Finding 2023-002
inding 2023-002 Program Name/AL Title: Health Center Program Cluster Federal Assistance Listing Number: 93.224 and 93.527 Federal Agency: U.S. Department of Health and Human Services Type of Finding: Significant Deficiecy/Noncompliance Compliance Requirement: Special Tests and Provisions Condition: The Organization lacked adequate controls over its sliding fee discount program to ensure that patients received the correct discount. Criteria: Health Centers must maintain a sliding fee discount policy and apply a sliding fee discount based on patient's ability to pay (42 USC 254(k((3)(E), (F), (G); 42 CFR sections 53c.303(e), (f), and (g); and 42 CFR sections 56.303(e), (f), and (g)). Context: In testing patients receiving discounts under the Organization's sliding fee schedule, we noted that for 4 of 42 patients selected for testing the Organization incorrectly applied the discount or were put in the incorrect category based on income and family size. Cause: The Organization's review process was not effective in verifying the sliding fee discount was correctly calculated and applied in accordance with the Organization's policy. Effect: There is an increased risk that discounts may be given to patients not eligible to receive a discount, or incorrect discounts may be provided for patient eligible to receive a discount. Recommendation: We recommend the Organization periodically review patients receiving discounts under the sliding fee schedule program to ensure that the correct discounts are being applied based on the current sliding fee schedule. View of Responsible Officials: The Organization will implement procedures for reviewing sliding fee discounts and provide additional training to staff for calculating those discounts.
Finding 2023-002
inding 2023-002 Program Name/AL Title: Health Center Program Cluster Federal Assistance Listing Number: 93.224 and 93.527 Federal Agency: U.S. Department of Health and Human Services Type of Finding: Significant Deficiecy/Noncompliance Compliance Requirement: Special Tests and Provisions Condition: The Organization lacked adequate controls over its sliding fee discount program to ensure that patients received the correct discount. Criteria: Health Centers must maintain a sliding fee discount policy and apply a sliding fee discount based on patient's ability to pay (42 USC 254(k((3)(E), (F), (G); 42 CFR sections 53c.303(e), (f), and (g); and 42 CFR sections 56.303(e), (f), and (g)). Context: In testing patients receiving discounts under the Organization's sliding fee schedule, we noted that for 4 of 42 patients selected for testing the Organization incorrectly applied the discount or were put in the incorrect category based on income and family size. Cause: The Organization's review process was not effective in verifying the sliding fee discount was correctly calculated and applied in accordance with the Organization's policy. Effect: There is an increased risk that discounts may be given to patients not eligible to receive a discount, or incorrect discounts may be provided for patient eligible to receive a discount. Recommendation: We recommend the Organization periodically review patients receiving discounts under the sliding fee schedule program to ensure that the correct discounts are being applied based on the current sliding fee schedule. View of Responsible Officials: The Organization will implement procedures for reviewing sliding fee discounts and provide additional training to staff for calculating those discounts.
Finding 2023-002
inding 2023-002 Program Name/AL Title: Health Center Program Cluster Federal Assistance Listing Number: 93.224 and 93.527 Federal Agency: U.S. Department of Health and Human Services Type of Finding: Significant Deficiecy/Noncompliance Compliance Requirement: Special Tests and Provisions Condition: The Organization lacked adequate controls over its sliding fee discount program to ensure that patients received the correct discount. Criteria: Health Centers must maintain a sliding fee discount policy and apply a sliding fee discount based on patient's ability to pay (42 USC 254(k((3)(E), (F), (G); 42 CFR sections 53c.303(e), (f), and (g); and 42 CFR sections 56.303(e), (f), and (g)). Context: In testing patients receiving discounts under the Organization's sliding fee schedule, we noted that for 4 of 42 patients selected for testing the Organization incorrectly applied the discount or were put in the incorrect category based on income and family size. Cause: The Organization's review process was not effective in verifying the sliding fee discount was correctly calculated and applied in accordance with the Organization's policy. Effect: There is an increased risk that discounts may be given to patients not eligible to receive a discount, or incorrect discounts may be provided for patient eligible to receive a discount. Recommendation: We recommend the Organization periodically review patients receiving discounts under the sliding fee schedule program to ensure that the correct discounts are being applied based on the current sliding fee schedule. View of Responsible Officials: The Organization will implement procedures for reviewing sliding fee discounts and provide additional training to staff for calculating those discounts.
Finding 2023-002
inding 2023-002 Program Name/AL Title: Health Center Program Cluster Federal Assistance Listing Number: 93.224 and 93.527 Federal Agency: U.S. Department of Health and Human Services Type of Finding: Significant Deficiecy/Noncompliance Compliance Requirement: Special Tests and Provisions Condition: The Organization lacked adequate controls over its sliding fee discount program to ensure that patients received the correct discount. Criteria: Health Centers must maintain a sliding fee discount policy and apply a sliding fee discount based on patient's ability to pay (42 USC 254(k((3)(E), (F), (G); 42 CFR sections 53c.303(e), (f), and (g); and 42 CFR sections 56.303(e), (f), and (g)). Context: In testing patients receiving discounts under the Organization's sliding fee schedule, we noted that for 4 of 42 patients selected for testing the Organization incorrectly applied the discount or were put in the incorrect category based on income and family size. Cause: The Organization's review process was not effective in verifying the sliding fee discount was correctly calculated and applied in accordance with the Organization's policy. Effect: There is an increased risk that discounts may be given to patients not eligible to receive a discount, or incorrect discounts may be provided for patient eligible to receive a discount. Recommendation: We recommend the Organization periodically review patients receiving discounts under the sliding fee schedule program to ensure that the correct discounts are being applied based on the current sliding fee schedule. View of Responsible Officials: The Organization will implement procedures for reviewing sliding fee discounts and provide additional training to staff for calculating those discounts.