Corrective Action Plans

Browse how organizations respond to audit findings

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Finding 529429 (2024-003)

Significant Deficiency 2024

Hawaii Health & Harm Reduction Center

HI

We again recommend that HHHRC adhere to established policies and procedures to ensure that eligibility determinations performed by case managers during the in-take and re-assessment process are reviewed by a manager or knowledgeable employee other than the case manager for completeness and accuracy.

We again recommend that HHHRC adhere to established policies and procedures to ensure that eligibility determinations performed by case managers during the in-take and re-assessment process are reviewed by a manager or knowledgeable employee other than the case manager for completeness and accuracy.

View Audit 347434

Finding 529429 (2024-003)

Significant Deficiency 2024

Hawaii Health & Harm Reduction Center

HI

Views of Responsible Officials and Planned Corrective Action

Views of Responsible Officials and Planned Corrective Action

View Audit 347434

Finding 529429 (2024-003)

Significant Deficiency 2024

Hawaii Health & Harm Reduction Center

HI

HHHRC updated its policies to reflect this second level of certification:

HHHRC updated its policies to reflect this second level of certification:

View Audit 347434

Finding 529429 (2024-003)

Significant Deficiency 2024

Hawaii Health & Harm Reduction Center

HI

Ryan White Eligibility Documentation: The Medical Case Manager will be required to show appropriate documentation of Ryan White Eligibility to the Program Manager for review prior to intiating any service.

Ryan White Eligibility Documentation: The Medical Case Manager will be required to show appropriate documentation of Ryan White Eligibility to the Program Manager for review prior to intiating any service.

View Audit 347434

Finding 529429 (2024-003)

Significant Deficiency 2024

Hawaii Health & Harm Reduction Center

HI

Manager/Employee Initials: The Program Manager or another knowledgeable employee will initial the documentation to confirm review and validation of the eligibility.

Manager/Employee Initials: The Program Manager or another knowledgeable employee will initial the documentation to confirm review and validation of the eligibility.

View Audit 347434

Finding 529429 (2024-003)

Significant Deficiency 2024

Hawaii Health & Harm Reduction Center

HI

Sign-off Requirement: This process must be completed before uploading the certification forms into the database to ensure all documents are properly reviewed and validated prior to being entered.

Sign-off Requirement: This process must be completed before uploading the certification forms into the database to ensure all documents are properly reviewed and validated prior to being entered.

View Audit 347434

Finding 529429 (2024-003)

Significant Deficiency 2024

Hawaii Health & Harm Reduction Center

HI

We provided staff training on this new policy and continue to monitor its implementation to ensure full compliance. This measure will help maintain the integrity of our data and ensure that all necessary sign-offs are obtained prior to database entry.

We provided staff training on this new policy and continue to monitor its implementation to ensure full compliance. This measure will help maintain the integrity of our data and ensure that all necessary sign-offs are obtained prior to database entry.

View Audit 347434

Finding 529428 (2024-002)

Significant Deficiency 2024

Hawaii Health & Harm Reduction Center

HI

Significant Deficiency

Significant Deficiency

View Audit 347434

Finding 529428 (2024-002)

Significant Deficiency 2024

Hawaii Health & Harm Reduction Center

HI

Finding No. 2024-002

Finding No. 2024-002

View Audit 347434

Finding 529428 (2024-002)

Significant Deficiency 2024

Hawaii Health & Harm Reduction Center

HI

Activities Allowed or Unallowed / Allowable Costs / Cost Principles

Activities Allowed or Unallowed / Allowable Costs / Cost Principles

View Audit 347434

Finding 529428 (2024-002)

Significant Deficiency 2024

Hawaii Health & Harm Reduction Center

HI

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

View Audit 347434

Finding 529428 (2024-002)

Significant Deficiency 2024

Hawaii Health & Harm Reduction Center

HI

HIV CARE Formula Grants

HIV CARE Formula Grants

View Audit 347434

Finding 529428 (2024-002)

Significant Deficiency 2024

Hawaii Health & Harm Reduction Center

HI

Federal Assistance Listing Number 93.917

Federal Assistance Listing Number 93.917

View Audit 347434

Finding 529428 (2024-002)

Significant Deficiency 2024

Hawaii Health & Harm Reduction Center

HI

Condition

Condition

View Audit 347434

Finding 529428 (2024-002)

Significant Deficiency 2024

Hawaii Health & Harm Reduction Center

HI

During our audit, we selected a sample of 8 pay periods to ascertain whether employees were properly charging time to the RWB program. Specifically, we found that:

During our audit, we selected a sample of 8 pay periods to ascertain whether employees were properly charging time to the RWB program. Specifically, we found that:

View Audit 347434

Finding 529428 (2024-002)

Significant Deficiency 2024

Hawaii Health & Harm Reduction Center

HI

· For one of the eight pay periods selected, HHHRC did not maintain documentation evidencing the supervisor’s review and approval of the schedule allocating time charges to the RWB program.

· For one of the eight pay periods selected, HHHRC did not maintain documentation evidencing the supervisor’s review and approval of the schedule allocating time charges to the RWB program.

View Audit 347434

Finding 529428 (2024-002)

Significant Deficiency 2024

Hawaii Health & Harm Reduction Center

HI

Criteria

Criteria

View Audit 347434

Finding 529428 (2024-002)

Significant Deficiency 2024

Hawaii Health & Harm Reduction Center

HI

In accordance with the Uniform Guidance (2 CFR section 200.430), charges to federal awards for salaries and wages must be based on records that accurately reflect the work performed. These records must be supported by a system of internal control which provide reasonable assurance that charges are ...

In accordance with the Uniform Guidance (2 CFR section 200.430), charges to federal awards for salaries and wages must be based on records that accurately reflect the work performed. These records must be supported by a system of internal control which provide reasonable assurance that charges are accurate and allowable, and be incorporated into the official records of the non-federal entity.

View Audit 347434

Finding 529428 (2024-002)

Significant Deficiency 2024

Hawaii Health & Harm Reduction Center

HI

Cause

Cause

View Audit 347434

Finding 529428 (2024-002)

Significant Deficiency 2024

Hawaii Health & Harm Reduction Center

HI

HHHRC did not adhere to established policies and procedures requiring that appropriate documentation be maintained to evidence that time allocated to RWB program was properly reviewed and approved.

HHHRC did not adhere to established policies and procedures requiring that appropriate documentation be maintained to evidence that time allocated to RWB program was properly reviewed and approved.

View Audit 347434

Finding 529428 (2024-002)

Significant Deficiency 2024

Hawaii Health & Harm Reduction Center

HI

Effect

Effect

View Audit 347434

Finding 529428 (2024-002)

Significant Deficiency 2024

Hawaii Health & Harm Reduction Center

HI

Although the time charged to the RWB program was appropriate, HHHRC did not comply with established internal control procedures requiring the maintenance of documentation evidencing supervisory review and approval.

Although the time charged to the RWB program was appropriate, HHHRC did not comply with established internal control procedures requiring the maintenance of documentation evidencing supervisory review and approval.

View Audit 347434

Finding 529428 (2024-002)

Significant Deficiency 2024

Hawaii Health & Harm Reduction Center

HI

Recommendation

Recommendation

View Audit 347434

Finding 529428 (2024-002)

Significant Deficiency 2024

Hawaii Health & Harm Reduction Center

HI

We recommend that HHHRC adhere to established policies and procedures requiring the accountant to print out and retain a copy of the supervisor’s review and approval of time charges allocated to the RWB program after each pay period.

We recommend that HHHRC adhere to established policies and procedures requiring the accountant to print out and retain a copy of the supervisor’s review and approval of time charges allocated to the RWB program after each pay period.

View Audit 347434

Finding 529428 (2024-002)

Significant Deficiency 2024

Hawaii Health & Harm Reduction Center

HI

Views of Responsible Officials and Planned Corrective Action

Views of Responsible Officials and Planned Corrective Action

View Audit 347434

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